This log is also available as text (235cc.txt) and as a (binary) annotation file (235cc.log).
Generated: Thursday, 23-Apr-2009 00:36:04 EDT
(All dates below are surrogates.)
id: Art.pH t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.4098 n1: 17.4098 u1: ml/dl st: NotStopd id: Potassium t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: SaO2 t0: [23:17:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: MDI #1 (Puff/Drug) t0: [00:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Atrovent st: NotStopd
pi: 4412390 hi: 28366 t0: [10:00:00 15/02/2018] tf: [17:00:00 15/02/2018] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Fentanyl t0: [00:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [01:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [02:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 15/02/2018] el: 1 ai: 209 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 15/02/2018] el: 1 ai: 416 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [03:00:00 15/02/2018] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Precautions t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: D5W 100.0ml t0: [00:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [01:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [02:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [03:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [23:00:00 14/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fentanyl t0: [03:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: 15 cv: 802.475 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: 15 cv: 1381.47 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: -160 cv: -2188.53 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: -160 cv: -2535.08 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: -160 cv: -160 ac: 1 ap: none re: 0
id: Art.pH t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Potassium t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: SaO2 t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Skin Integrity t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [04:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Fentanyl t0: [04:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 rs: Final st: NotStopd id: CaO2 t0: [04:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.9412 n1: 16.9412 u1: ml/dl st: NotStopd id: WBC t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 rs: Final st: NotStopd id: Hematocrit t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 292 n1: 292 rs: Final st: NotStopd id: RBC t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.25 n1: 4.25 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 rs: Final st: NotStopd
id: BUN t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Glucose t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: PT t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: INR t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 25.7 n1: 25.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 25.7 n1: 25.7 rs: Final st: NotStopd
id: RSBI (<100) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 79.5107 n1: 79.5107 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 79.5107 n1: 79.5107 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 0.327 n1: 0.327 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: 403 n1: 403 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 15/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Creatinine t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: ALT t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 2922 n1: 2922 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:56:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assistance Device t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [05:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: CaO2 t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.7232 n1: 16.7232 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [06:13:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 414 n1: 414 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Support Systems t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [06:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [08:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4413270 hi: 28366 t0: [10:00:00 15/02/2018] tf: [17:00:00 24/02/2018] mn: Multivitamins pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4413271 hi: 28366 t0: [10:00:00 15/02/2018] tf: [17:00:00 24/02/2018] mn: Multivitamins pt: Unit Dose st: Discontinued via patient discharge rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4413391 hi: 28366 t0: [11:00:00 15/02/2018] tf: [10:00:00 16/02/2018] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4413392 hi: 28366 t0: [08:00:00 15/02/2018] tf: [12:00:00 20/02/2018] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4413404 hi: 28366 t0: [20:00:00 15/02/2018] tf: [10:00:00 16/02/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4413410 hi: 28366 t0: [11:00:00 15/02/2018] tf: [10:00:00 22/02/2018] mn: Heparin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 it: N ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4413411 hi: 28366 t0: [11:00:00 15/02/2018] tf: [12:00:00 22/02/2018] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [10:33:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Reason For Restraint t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [10:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 441 n1: 441 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin el: 1 cg: RN cu: CCU ra: 14 ru: ml/hr
pi: 4413756 hi: 28366 t0: [13:00:00 15/02/2018] tf: [12:00:00 20/02/2018] mn: Aztreonam pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 6, 14, 22 dn: 3 di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Insert Date t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #2 Insert Date t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: IV Site Appear #1 t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Gastric Meds t0: [11:00:00 15/02/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [11:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 15/02/2018] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0
id: Art.pH t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:20:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Code Status t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [13:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: calprevflg t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 28 vu: ml
id: Fentanyl t0: [14:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [14:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Previous WeightF t0: [02:00:00 14/02/2018] el: 0 cg: RT cu: CCU u1: kg st: NotStopd id: Resp Rate (Total) t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: 353 n1: 353 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [14:00:00 15/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:15:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Code Status t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: HOB Measurement t0: [08:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [10:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [12:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [14:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: calprevflg t0: [15:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [15:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [15:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: FiO2 Set t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [15:40:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rate t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Significant Events t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Extubated st: NotStopd id: SpO2 t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [15:30:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:35:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:11:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: FiO2 Set t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GI Intub #1/Site t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Arterial BP t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Urine Source t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [16:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 115 vu: ml
id: Heparin t0: [16:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #2 Reason DC'D t0: [17:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [17:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [17:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [17:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [17:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 15/02/2018] el: 1 ai: 115 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4414823 hi: 28366 t0: [18:00:00 15/02/2018] tf: [17:00:00 24/02/2018] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued via patient discharge rt: NEB fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 15/02/2018] el: 0 cg: CoWker cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Code Status t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Motor Response t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Urine Color/Appear t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Cooperative st: NotStopd id: Bowel Sounds t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [17:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 15/02/2018] el: 1 ai: 115 cg: RN cu: CCU vu: ml
id: Heparin t0: [17:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [18:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: Heparin t0: [18:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4415211 hi: 28366 t0: [19:00:00 15/02/2018] tf: [18:00:00 16/02/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Previous WeightF t0: [12:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Arterial Base Excess t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:07:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: HR Alarm (Lo/Hi) t0: [18:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd
id: Service Type t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: BPM st: NotStopd id: Heart Rate t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:15:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:20:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:25:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [18:15:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:20:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:25:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:30:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:35:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [18:30:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:35:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [19:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [19:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: ETT Mark/Location t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Size t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Type t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: MDI #1 (Puff/Drug) t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: MDI #2 (Puff/Drug) t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Type t0: [20:00:00 15/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4415620 hi: 28366 t0: [21:00:00 15/02/2018] tf: [23:00:00 15/02/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ASDIR ds: 17, 19 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 15/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Venti Mask st: NotStopd id: Oral Cavity t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [20:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: Heparin t0: [20:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [21:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Heparin t0: [21:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4416024 hi: 28366 t0: [23:00:00 15/02/2018] tf: [07:00:00 16/02/2018] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rhythm t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [22:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Heparin t0: [22:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 15/02/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/02/2018] el: 2 cg: RN cu: CCU cv: 2390 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/02/2018] el: 2 cg: RN cu: CCU cv: 2390 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 15/02/2018] el: 0 cg: CoWker cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd
pi: 4416208 hi: 28366 t0: [00:00:00 16/02/2018] tf: [10:00:00 16/02/2018] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q2H ds: 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 dn: 12 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [23:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [23:00:00 15/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: CaO2 t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.9505 n1: 16.9505 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [23:41:00 15/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 16/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Alarms t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: FiO2 Set t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: Intubation Date t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Venti Mask st: NotStopd id: Oral Cavity t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 15/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 15/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [00:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [00:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Aggitation t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Anxiety t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No anxiety st: NotStopd id: Auditory Disturbance t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: sum st: NotStopd id: Headache t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Nausea and Vomiting t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Tactile Disturbances t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not visible st: NotStopd id: Visual Disturbances t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Service Type t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [01:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [22:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [23:00:00 15/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 15/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Service Type t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [03:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Heparin t0: [03:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI#1 Intub Site t0: [04:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [04:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [04:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [04:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Aggitation t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Auditory Disturbance t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Daily Wake Up t0: [04:00:00 16/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Nausea and Vomiting t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Tactile Disturbances t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not visible st: NotStopd id: Visual Disturbances t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU st: NotStopd id: Education Topic #1 t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: FiO2 Set t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 16/02/2018] el: 0 cg: RN cu: CCU st: NotStopd id: HOB t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: Intubation Date t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Venti Mask st: NotStopd id: Oral Cavity t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [02:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [04:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Heparin t0: [02:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: BPM st: NotStopd id: Heart Rate t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: BPM st: NotStopd id: Heart Rate t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:40:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:45:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:50:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [04:30:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:40:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:45:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:50:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Aggitation t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ... st: NotStopd id: Anxiety t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mod anxiety st: NotStopd id: Auditory Disturbance t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very mild st: NotStopd id: CIWA Sum Total t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: sum st: NotStopd id: Headache t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ? date < 2 days st: NotStopd id: Paroxysmal Sweats t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Beads/ forehead st: NotStopd id: Tactile Disturbances t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mild st: NotStopd id: Tremor t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mod w/arm extend st: NotStopd id: Visual Disturbances t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Moderate st: NotStopd
id: Anxiety t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: CIWA Sum Total t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: sum st: NotStopd id: Paroxysmal Sweats t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ... st: NotStopd
id: Art.pH t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Previous Weight t0: [08:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous Weight t0: [09:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous Weight t0: [10:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [07:30:00 14/02/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 14/02/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Arterial Base Excess t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: IV Infusion In Total t0: [23:00:00 15/02/2018] el: 2 cg: 1663 cu: CCU pv: 225.5 cv: 748.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/02/2018] el: 2 cg: 1663 cu: CCU pv: 225.5 cv: 808.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/02/2018] el: 2 cg: 1663 cu: CCU pv: 225.5 cv: -1581.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/02/2018] el: 2 cg: 1663 cu: CCU pv: 225.5 cv: -4116.58 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 15/02/2018] el: 2 cg: 1663 cu: CCU pv: 225.5 cv: 225.5 ac: 1 ap: none re: 0
id: SaO2 t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [04:30:00 16/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Location t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:30:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml
id: Heparin t0: [05:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: CaO2 t0: [05:35:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 18.4175 n1: 18.4175 u1: ml/dl st: NotStopd id: WBC t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: Hematocrit t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 39.6 n1: 39.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.9 n1: 13.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 341 n1: 341 rs: Final st: NotStopd id: RBC t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.55 n1: 4.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rhythm t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [06:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Heparin t0: [06:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 217 n1: 217 rs: Final st: NotStopd id: Magnesium t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 217 n1: 217 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 65.6 n1: 65.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 65.6 n1: 65.6 rs: Final st: NotStopd
id: ALT t0: [05:23:00 16/02/2018] el: 0 cg: 1663 cu: CCU v1: 2274 n1: 2274 rs: Final st: NotStopd
pi: 4416841 hi: 28366 t0: [08:00:00 16/02/2018] tf: [10:00:00 16/02/2018] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4416842 hi: 28366 t0: [08:00:00 16/02/2018] tf: [10:00:00 16/02/2018] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q1H:PRN di: Ongoing xv: 36 xu: Hours
id: INV Line#2 Zero/Cal t0: [09:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [09:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP t0: [09:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [09:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Alarm (Lo/Hi) t0: [09:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Gastric Meds t0: [09:00:00 16/02/2018] el: 1 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd id: GT Flush t0: [09:00:00 16/02/2018] el: 1 ai: 112 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: FiO2 Set t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: Intubation Date t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: Level of Conscious t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Motor Response t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [08:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [09:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Heparin t0: [08:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 855.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 990.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 1795 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: -804.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: -4921.08 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 1795 ac: 24 ap: none re: 0
id: Service Type t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [09:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4417480 hi: 28366 t0: [20:00:00 16/02/2018] tf: [15:00:00 20/02/2018] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4417481 hi: 28366 t0: [20:00:00 16/02/2018] tf: [15:00:00 20/02/2018] mn: Docusate Sodium pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4417502 hi: 28366 t0: [16:00:00 16/02/2018] tf: [12:00:00 20/02/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4417511 hi: 28366 t0: [11:00:00 16/02/2018] tf: [09:00:00 17/02/2018] mn: Diazepam pt: Unit Dose st: Discontinued rt: PO fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 16/02/2018] el: 0 cg: CoWker cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
pi: 4417741 hi: 28366 t0: [13:00:00 16/02/2018] tf: [00:00:00 17/02/2018] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4417833 hi: 28366 t0: [10:00:00 16/02/2018] tf: [17:00:00 24/02/2018] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [10:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [11:00:00 16/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 45 vu: ml id: Po Intake t0: [13:00:00 16/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [11:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: Urine Out Foley t0: [12:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Heparin t0: [13:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Aggitation t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mild st: NotStopd id: CIWA Sum Total t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: sum st: NotStopd id: Drowsiness t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Headache t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Tactile Disturbances t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Very mild st: NotStopd id: Tremor t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [09:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [11:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Heparin t0: [14:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 16/02/2018] el: 0 cg: CoWker cu: CCU v1: 178 n1: 178 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<100) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Cuff Pressure-Airway t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI Not Completed t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Position Change t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: FiO2 Set t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: High Insp. Pressure t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: High Resp. Rate t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: I:E Ratio t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Inspired Gas Temp t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Low Exhaled Min Vol t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Mean Airway Pressure t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Minute Volume(Obser) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Neg Insp Force(>-25) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PEEP Set t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Apnea Time Interval t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Peak Insp. Pressure t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Plateau Pressure t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Pressure Support t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<200) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Spont) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Total) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Rate Set t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank A psi. t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank B psi. t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Ve High t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Sensitivity-Vent t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon RR (Mech.) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Obser) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Set) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Spont) t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Mode t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Vital Cap (>1.0)L t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Waveform-Vent t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Mixed Venous O2% Sat t0: [18:00:00 16/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Intubation Date t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Intubation Date t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Nursing Consultation t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Social Services st: NotStopd id: O2 Delivery Device t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temperature C (calc) t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [13:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [16:00:00 16/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [16:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: Urine Out Foley t0: [18:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Heparin t0: [15:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 16/02/2018] el: 2 cg: RN cu: CCU cv: 135 ac: 24 ap: none re: 0
id: Riker-SAS Scale t0: [17:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Extubation Date t0: [12:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [16:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 16/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: GCS Total t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: SpO2 t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml id: Urine Out Foley t0: [20:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [20:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Back Care t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 16/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [22:00:00 16/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 16/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [22:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Heparin t0: [21:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV#2Chg o/Wire Date t0: [00:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Site Date t0: [00:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [00:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [00:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Gastric Oral Gastric t0: [00:00:00 17/02/2018] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4420017 hi: 28366 t0: [01:00:00 17/02/2018] tf: [09:00:00 17/02/2018] mn: Diazepam pt: Unit Dose st: Discontinued rt: IV fr: Q1-2H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Aggitation t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: > Norm activity st: NotStopd id: Aggitation t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Aggitation t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: > Norm activity st: NotStopd id: Anxiety t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Anxiety t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Anxiety t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Ataxia t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ataxia t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ataxia t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Auditory Disturbance t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Auditory Disturbance t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: sum st: NotStopd id: Daily Wake Up t0: [23:00:00 16/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Drowsiness t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Drowsiness t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Drowsiness t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Insomnia t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Insomnia t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Orient/Clouding Sens t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Orient/Clouding Sens t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Palms moist st: NotStopd id: Paroxysmal Sweats t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Palms moist st: NotStopd id: Paroxysmal Sweats t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Palms moist st: NotStopd id: Seizure t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Seizure t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Seizure t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tactile Disturbances t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tactile Disturbances t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Mild st: NotStopd id: Tremor t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Tremor t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Tremor t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Visual Disturbances t0: [20:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Visual Disturbances t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disoriented st: NotStopd id: Arterial BP t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Behavior t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 16/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [00:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 16/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Aggitation t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Auditory Disturbance t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Tactile Disturbances t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [01:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Heparin t0: [01:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [02:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Heparin t0: [02:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Aggitation t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Aggitation t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Ataxia t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ataxia t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ataxia t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Auditory Disturbance t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: sum st: NotStopd id: Daily Wake Up t0: [02:00:00 17/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 17/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Drowsiness t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Drowsiness t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Drowsiness t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Orient/Clouding Sens t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Paroxysmal Sweats t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Palms moist st: NotStopd id: Slurred Speech t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tactile Disturbances t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Tremor t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Visual Disturbances t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Level of Conscious t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disoriented st: NotStopd id: Orientation t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Disoriented st: NotStopd id: Arterial BP t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Verbal Response t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Behavior t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [02:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [04:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Heparin t0: [03:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Turn t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: calprevflg t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [05:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Behavior t0: [06:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd
id: D5W 100.0ml t0: [06:00:00 17/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml id: Urine Out Foley t0: [06:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [05:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: WBC t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Hematocrit t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 37.1 n1: 37.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 12.6 n1: 12.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 250 n1: 250 rs: Final st: NotStopd id: RBC t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.21 n1: 4.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 118 n1: 118 rs: Manual st: NotStopd
id: PTT t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 66.8 n1: 66.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 66.8 n1: 66.8 rs: Final st: NotStopd
id: BUN t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Calcium t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: ALT t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 1372 n1: 1372 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [07:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4420776 hi: 28366 t0: [09:00:00 17/02/2018] tf: [08:00:00 18/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 17/02/2018] el: 1 cg: CoWker cu: CCU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Pain Location t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: SpO2 t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/02/2018] el: 1 ai: 107 cg: CoWker cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 17/02/2018] el: 1 ai: 117 cg: CoWker cu: CCU vo: 31 vu: ml
id: PT t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:33:00 17/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd
id: D5W 100.0ml t0: [08:00:00 17/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [07:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 275 vu: ml
pi: 4420915 hi: 28366 t0: [10:00:00 17/02/2018] tf: [17:00:00 24/02/2018] mn: Diazepam pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [09:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [09:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [10:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [11:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: INV Line#1 D/C Date t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: IV #1 Insert Date t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: O2 Delivery Device t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml id: Urine Out Foley t0: [11:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Arterial BP t0: [12:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [12:00:00 17/02/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [12:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 17/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Topic #1 t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Level of Conscious t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Behavior t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [12:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fingerstick Glucose t0: [12:00:00 17/02/2018] el: 0 cg: CoWker cu: CCU v1: 176 n1: 176 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [13:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [13:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Pain Present t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [13:00:00 17/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: Po Intake t0: [08:00:00 17/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [10:00:00 17/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [12:00:00 17/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml
id: Diet Type t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: HOB t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Assistance Device t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Respiratory Pattern t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Care t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Verbal Response t0: [13:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [09:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Pain Present t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [15:00:00 17/02/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Level of Conscious t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Urine Source t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 17/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml
id: Heparin t0: [14:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Heparin t0: [16:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: SpO2 t0: [15:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd
id: Ectopy Frequency t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: IV #1 Insert Date t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 31 vu: ml
id: Service Type t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: Heparin t0: [18:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [17:00:00 17/02/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 17/02/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 15.5 vu: ml id: Urine Out Foley t0: [18:00:00 17/02/2018] el: 1 cg: RN cu: CCU vo: 425 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 879 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 1299 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 420 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 1815 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: -516 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: -5437.08 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/02/2018] el: 2 cg: RN cu: -1 cv: 1815 ac: 24 ap: none re: 0
id: Diet Type t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Topic #1 t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [18:00:00 17/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4422221 hi: 28366 t0: [19:00:00 17/02/2018] tf: [17:00:00 24/02/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 37954 t0: 8:45:00 cu: CCU de: Regular ward dt: 5993
pi: 4423713 hi: 28366 t0: [11:00:00 18/02/2018] tf: [10:00:00 19/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4423714 hi: 28366 t0: [11:00:00 18/02/2018] tf: [10:00:00 19/02/2018] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4424066 hi: 28366 t0: [10:00:00 18/02/2018] tf: [17:00:00 24/02/2018] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4424983 hi: 28366 t0: [22:00:00 18/02/2018] tf: [21:00:00 19/02/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4426301 hi: 28366 t0: [12:00:00 19/02/2018] tf: [11:00:00 20/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4427066 hi: 28366 t0: [19:00:00 19/02/2018] tf: [18:00:00 20/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4427067 hi: 28366 t0: [19:00:00 19/02/2018] tf: [18:00:00 20/02/2018] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4428367 hi: 28366 t0: [11:00:00 20/02/2018] tf: [10:00:00 21/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4428921 hi: 28366 t0: [14:00:00 20/02/2018] tf: [13:00:00 21/02/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: TID ds: 08, 14, 20 dn: 3 dt: 1 di: Days xv: 36 xu: Hours pi: 4428922 hi: 28366 t0: [10:00:00 20/02/2018] tf: [10:00:00 22/02/2018] mn: Metoprolol XL (Toprol XL) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4429554 hi: 28366 t0: [16:00:00 20/02/2018] tf: [17:00:00 24/02/2018] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4429555 hi: 28366 t0: [10:00:00 20/02/2018] tf: [12:00:00 24/02/2018] mn: Furosemide pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4429556 hi: 28366 t0: [10:00:00 20/02/2018] tf: [12:00:00 24/02/2018] mn: Spironolactone pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4429568 hi: 28366 t0: [16:00:00 20/02/2018] tf: [05:00:00 21/02/2018] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label
pi: 4432159 hi: 28366 t0: [10:00:00 21/02/2018] tf: [09:00:00 22/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4433214 hi: 28366 t0: [10:00:00 21/02/2018] tf: [17:00:00 24/02/2018] mn: Warfarin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4433602 hi: 28366 t0: [18:00:00 21/02/2018] tf: [17:00:00 24/02/2018] mn: Atropine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: X1:PRN di: Ongoing xv: 36 xu: Hours
pi: 4435805 hi: 28366 t0: [10:00:00 22/02/2018] tf: [09:00:00 23/02/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4435806 hi: 28366 t0: [10:00:00 22/02/2018] tf: [09:00:00 23/02/2018] mn: Diltiazem pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4435807 hi: 28366 t0: [10:00:00 22/02/2018] tf: [09:00:00 23/02/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4435808 hi: 28366 t0: [10:00:00 22/02/2018] tf: [15:00:00 22/02/2018] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Continuous at 750 ml/hr for 250 ml ir: 750 it: C ss: N dt: 5 di: Hours xu: Enter on Label pi: 4435809 hi: 28366 t0: [10:00:00 22/02/2018] tf: [09:00:00 23/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4435989 hi: 28366 t0: [11:00:00 22/02/2018] tf: [11:00:00 22/02/2018] mn: Metoprolol XL (Toprol XL) pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4435990 hi: 28366 t0: [10:00:00 23/02/2018] tf: [17:00:00 24/02/2018] mn: Metoprolol XL (Toprol XL) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4435991 hi: 28366 t0: [10:00:00 22/02/2018] tf: [16:00:00 22/02/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4436044 hi: 28366 t0: [20:00:00 22/02/2018] tf: [17:00:00 24/02/2018] mn: Enoxaparin Sodium pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4436383 hi: 28366 t0: [12:00:00 22/02/2018] tf: [11:00:00 23/02/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4436472 hi: 28366 t0: [13:00:00 22/02/2018] tf: [20:00:00 22/02/2018] mn: Diltiazem pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
pi: 4437297 hi: 28366 t0: [20:00:00 22/02/2018] tf: [17:00:00 24/02/2018] mn: Amiodarone HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4439603 hi: 28366 t0: [10:00:00 23/02/2018] tf: [09:00:00 24/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4439604 hi: 28366 t0: [10:00:00 23/02/2018] tf: [09:00:00 24/02/2018] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4440564 hi: 28366 t0: [10:00:00 23/02/2018] tf: [17:00:00 24/02/2018] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4440706 hi: 28366 t0: [16:00:00 23/02/2018] tf: [17:00:00 24/02/2018] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4440707 hi: 28366 t0: [22:00:00 23/02/2018] tf: [17:00:00 24/02/2018] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4443540 hi: 28366 t0: [10:00:00 24/02/2018] tf: [17:00:00 24/02/2018] mn: Spironolactone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4443541 hi: 28366 t0: [10:00:00 24/02/2018] tf: [17:00:00 24/02/2018] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 09/05/2018] el: 0 cg: LCP cu: LCP at MIT n1: 6
pi: 4690506 hi: 11019 t0: [00:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Phenylephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: BSA t0: [23:19:00 09/05/2018] el: 1033 cg: 1531 cu: CCU id: Admit Wt t0: [23:19:00 09/05/2018] el: 1032 cg: 1531 cu: CCU id: Allergy 1 t0: [23:19:00 09/05/2018] el: 1020 cg: 1531 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [23:19:00 09/05/2018] el: 1023 cg: 1531 cu: CCU v1: TACHYCARDIA id: Service t0: [23:19:00 09/05/2018] el: 1026 cg: 1531 cu: CCU v1: CME id: Admit Ht t0: [23:19:00 09/05/2018] el: 1034 cg: 1531 cu: CCU id: Readmission t0: [23:19:00 09/05/2018] el: 1014 cg: 1531 cu: CCU id: Marital Status t0: [23:19:00 09/05/2018] el: 1006 cg: 1531 cu: CCU v1: S id: Religion t0: [23:19:00 09/05/2018] el: 1000 cg: 1531 cu: CCU v1: RCA id: Allergy 2 t0: [23:19:00 09/05/2018] el: 1021 cg: 1531 cu: CCU id: Ext t0: [23:19:00 09/05/2018] el: 1010 cg: 1531 cu: CCU id: Allergy 3 t0: [23:19:00 09/05/2018] el: 1022 cg: 1531 cu: CCU
id: Pain Present t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #1 Insert Date t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Manual BP t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Motor Response t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Oral Cavity t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 09/05/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Verbal Response t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Daily Weight t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Behavior t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Braden Activity t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Limitations st: NotStopd id: Braden Moisture t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Pre-Admission Intake t0: [00:00:00 10/05/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 2000 vu: ml id: Urine Out Foley t0: [00:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 780 vu: ml
pi: 4690523 hi: 11019 t0: [01:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4690524 hi: 11019 t0: [10:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Aspirin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690525 hi: 11019 t0: [08:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4690526 hi: 11019 t0: [10:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Lisinopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690527 hi: 11019 t0: [10:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Simvastatin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690528 hi: 11019 t0: [08:00:00 10/05/2018] tf: [00:00:00 10/05/2018] mn: Spironolactone pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4690545 hi: 11019 t0: [01:00:00 10/05/2018] tf: [16:00:00 10/05/2018] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4690546 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Simvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690547 hi: 11019 t0: [10:00:00 10/05/2018] tf: [01:00:00 10/05/2018] mn: Lisinopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690548 hi: 11019 t0: [08:00:00 10/05/2018] tf: [01:00:00 10/05/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4690549 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690553 hi: 11019 t0: [22:00:00 10/05/2018] tf: [01:00:00 10/05/2018] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690569 hi: 11019 t0: [01:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4690570 hi: 11019 t0: [22:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690571 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: FoLIC Acid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690572 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Thiamine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690574 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690575 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Spironolactone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4690629 hi: 11019 t0: [02:00:00 10/05/2018] tf: [01:00:00 10/05/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4690630 hi: 11019 t0: [22:00:00 10/05/2018] tf: [01:00:00 10/05/2018] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690642 hi: 11019 t0: [02:00:00 10/05/2018] tf: [11:00:00 10/05/2018] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4690643 hi: 11019 t0: [02:00:00 10/05/2018] tf: [11:00:00 10/05/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 dt: 2 di: Doses xv: 36 xu: Hours pi: 4690681 hi: 11019 t0: [08:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Warfarin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690682 hi: 11019 t0: [10:00:00 10/05/2018] tf: [09:00:00 10/05/2018] mn: Lisinopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4690683 hi: 11019 t0: [08:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: WBC t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: Hematocrit t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 34.1 n1: 34.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 243 n1: 243 rs: Final st: NotStopd id: RBC t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4.18 n1: 4.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd
id: Code Status t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [00:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:15:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 10/05/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: Po Intake t0: [01:00:00 10/05/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [01:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 300 ac: 24 ap: none re: 0
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin el: 1 cg: RN cu: CCU ra: 14.5 ru: ml/hr
pi: 4690703 hi: 11019 t0: [03:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Lorazepam pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 10/05/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [02:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Heparin t0: [02:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: INR t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PTT t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: PTT(22-35) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd
id: BUN t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Albumin t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Calcium t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Magnesium t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Albumin (>3.2) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: BUN (6-20) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:06:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Oral Cavity t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 10/05/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 29 vu: ml id: Urine Out Foley t0: [04:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Heparin t0: [03:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 98 n1: 98 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Precautions t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 10/05/2018] el: 1 cg: CoWker cu: CCU vo: 270 vu: ml
id: Heparin t0: [06:00:00 10/05/2018] el: 1 cg: CoWker cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Code Status t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Precautions t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [05:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 80 n1: 80 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 10/05/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Orientation t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: SpO2 t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 10/05/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 58 vu: ml id: Urine Out Foley t0: [08:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Heparin t0: [08:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4691266 hi: 11019 t0: [20:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Amiodarone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 dt: 2 di: Weeks xv: 36 xu: Hours pi: 4691267 hi: 11019 t0: [22:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4691268 hi: 11019 t0: [10:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Digoxin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 10/05/2018] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Code Status t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Diabetic st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Assistance Device t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Integrity t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [09:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Walks Frequently st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Limitations st: NotStopd id: Braden Moisture t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 10/05/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 14.5 vu: ml
id: Heparin t0: [09:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 101.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 2401.5 ac: 24 ap: none re: 0
id: Code Status t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: NBP t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 84 n1: 84 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Precautions t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [10:45:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 10/05/2018] el: 0 cg: CoWker cu: CCU v1: 206 n1: 206 rs: Manual st: NotStopd
id: Code Status t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: Pre-Admission Output Pre-Admission Output t0: [10:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Pain Present t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 10/05/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: Level of Conscious t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Orientation t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Verbal Response t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Output Pre-Admission Output t0: [13:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: GI Prophylaxis t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Diabetic st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Bowel Sounds t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: BUN t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 174 n1: 174 rs: Final st: NotStopd id: Magnesium t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 174 n1: 174 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 20.4 n1: 20.4 rs: Final st: NotStopd id: INR t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 35.2 n1: 35.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 20.4 n1: 20.4 rs: Final st: NotStopd id: PTT(22-35) t0: [12:53:00 10/05/2018] el: 0 cg: 1663 cu: CCU v1: 35.2 n1: 35.2 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous WeightF t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HR Alarm (Lo/Hi) t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Service Type t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 600 vu: ml
pi: 4692519 hi: 11019 t0: [16:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 76.7 n1: 76.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 10/05/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Total Hourly Output t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 3910 ac: 24 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0
id: Pre-Admission Output Pre-Admission Output t0: [15:00:00 10/05/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: 24h Net Body Balance t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: -2208.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: -2208.5 ac: multiple days ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/05/2018] el: 2 cg: RN cu: -1 cv: 4610 ac: 24 ap: none re: 0
ci: 40016 t0: [23:19:00 09/05/2018] cu: CCU de: Regular ward dt: 986
pi: 4692657 hi: 11019 t0: [17:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4693155 hi: 11019 t0: [19:00:00 10/05/2018] tf: [19:00:00 11/05/2018] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4694616 hi: 11019 t0: [09:00:00 11/05/2018] tf: [19:00:00 11/05/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4694617 hi: 11019 t0: [09:00:00 11/05/2018] tf: [19:00:00 11/05/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours