This log is also available as text (103cc.txt) and as a (binary) annotation file (103cc.log).
Generated: Thursday, 23-Apr-2009 00:34:40 EDT
(All dates below are surrogates.)
id: Compliance (40-60ml) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 24/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: NBP t0: [20:00:00 24/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [20:00:00 24/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Arterial BP t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 24/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 47.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 24/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [22:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 24/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 24/01/2020] 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: [22:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 2975 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 2975 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 2975 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 2975 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Arterial BP t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 24/01/2020] 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 24/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 24/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Hematocrit t0: [22:57:00 24/01/2020] el: 0 cg: 1663 cu: CCU v1: 38.5 n1: 38.5 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: IV #1 Reason DC'D t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Risk for Falls t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 14 gauge st: NotStopd id: IV #3 Insert Date t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [22:00:00 24/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 17.85 vu: ml id: Gastric Meds t0: [22:00:00 24/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Magnesium t0: [22:57:00 24/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [22:57:00 24/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:57:00 24/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:57:00 24/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 9.75 n1: 9.75 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 24/01/2020] el: 2 cg: RRT cu: CCU cv: 60 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 24/01/2020] el: 3 cg: RRT cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 25/01/2020] el: 0 cg: CoWker cu: CCU v1: 182 n1: 182 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Abdominal Assessment t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Arterial BP t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 8.6625 vu: ml id: D5W 1000.0ml t0: [00:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: D5W 1000.0ml t0: [22:00:00 24/01/2020] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [01:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [01:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 1259.04 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 1259.04 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 1319.04 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 1319.04 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: -1655.96 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: -1655.96 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: -1655.96 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: -1655.96 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 24/01/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 24/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: Service Type t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Arterial BP t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/01/2020] 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 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 25/01/2020] 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: [03:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
io: ProBalance el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Compliance (40-60ml) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 475 n1: 475 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: HOB t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Abdominal Assessment t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Temp. Site t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 25.9875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [04:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Arterial BP t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: ProBalance t0: [05:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [05:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Arterial BP t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: Heart Rate t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [01:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [03:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [05:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [20:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [22:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [23:00:00 24/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: calprevflg t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: TF Residual t0: [05:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: ProBalance t0: [06:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Art.pH t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:58:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.4 n1: 20.4 rs: Final st: NotStopd id: WBC t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.4 n1: 20.4 rs: Final st: NotStopd id: Hematocrit t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 40.6 n1: 40.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 271 n1: 271 rs: Final st: NotStopd id: RBC t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 6.07 n1: 6.07 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.4 n1: 20.4 rs: Final st: NotStopd
id: BUN t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 25.2 n1: 25.2 rs: Final st: NotStopd id: INR t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PTT t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 25.2 n1: 25.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:46:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd
id: BSA t0: [07:29:00 25/01/2020] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [07:29:00 25/01/2020] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [07:29:00 25/01/2020] el: 1020 cg: -1 cu: CCU v1: Benzodiazepines id: Diagnosis/op t0: [07:29:00 25/01/2020] el: 1023 cg: -1 cu: CCU v1: CARDIOGENIC SHOCK id: Service t0: [07:29:00 25/01/2020] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [07:29:00 25/01/2020] el: 1034 cg: -1 cu: CCU id: Readmission t0: [07:29:00 25/01/2020] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [07:29:00 25/01/2020] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [07:29:00 25/01/2020] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [07:29:00 25/01/2020] el: 1021 cg: -1 cu: CCU id: Ext t0: [07:29:00 25/01/2020] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [07:29:00 25/01/2020] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: ProBalance t0: [08:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [07:00:00 25/01/2020] 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: [08:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: calprevflg t0: [08:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [08:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temperature C (calc) t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd
pi: 4311955 hi: 27244 t0: [11:00:00 25/01/2020] tf: [11:00:00 25/01/2020] mn: Hydrocortisone Na Succ. pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 11, 17, 23, 5 dn: 4 dt: 7 di: Days xu: Enter on Label pi: 4311956 hi: 27244 t0: [10:00:00 25/01/2020] tf: [01:00:00 31/01/2020] mn: Fludrocortisone Acetate pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 dt: 7 di: Days xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 25/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Education Topic #2 t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 14 gauge st: NotStopd id: IV #3 Insert Date t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Stool Guaiac t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 27.5625 vu: ml id: ProBalance t0: [10:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 4.625 vu: ml id: Urine Out Foley t0: [10:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [09:00:00 25/01/2020] 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: [10:00:00 25/01/2020] 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: [10:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:15:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV Site Appear #2 t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4311975 hi: 27244 t0: [17:00:00 25/01/2020] tf: [01:00:00 31/01/2020] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 11, 17, 23, 5 dn: 4 dt: 7 di: Days xv: 36 xu: Hours
id: Service Type t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.1562 vu: ml id: ProBalance t0: [11:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [11:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 469 n1: 469 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:30:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Temp. Site t0: [12:00:00 25/01/2020] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/01/2020] el: 0 cg: CoWker cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/01/2020] el: 0 cg: CoWker cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [12:00:00 25/01/2020] el: 0 cg: CoWker cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Art.pH t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Eye Opening t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Sputum Source/Amt t0: [11:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Turn t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Verbal Response t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: ProBalance t0: [12:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [12:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [12:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Lactic Acid t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:08:00 25/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/01/2020] 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 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4312339 hi: 27244 t0: [15:00:00 25/01/2020] tf: [21:00:00 15/02/2020] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4312340 hi: 27244 t0: [15:00:00 25/01/2020] tf: [21:00:00 15/02/2020] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Urine Source t0: [12:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 26.25 vu: ml id: ProBalance t0: [14:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd
pi: 4312497 hi: 27244 t0: [16:00:00 25/01/2020] tf: [15:00:00 25/01/2020] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q48H dn: 0 dt: 49 di: Hours xv: 36 xu: Hours pi: 4312530 hi: 27244 t0: [16:00:00 25/01/2020] tf: [08:00:00 29/01/2020] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 18 dn: 1 dt: 49 di: Hours xv: 36 xu: Hours
id: Service Type t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 25/01/2020] 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 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:30:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: ProBalance t0: [15:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [15:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [15:00:00 25/01/2020] 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: [15:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:30:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 511 n1: 511 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 25/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Education Topic #1 t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Eye Opening t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 14 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Sputum Source/Amt t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 23.625 vu: ml id: ProBalance t0: [17:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 25/01/2020] 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: [17:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 25/01/2020] 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 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 25/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [14:00:00 25/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [18:00:00 25/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: ProBalance t0: [18:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [18:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 14 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: INV#2 Cap Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 26.25 vu: ml id: ProBalance t0: [20:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.84 n1: 8.84 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 538 n1: 538 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 25/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Learner t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [21:00:00 25/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [20:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: ProBalance t0: [21:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [21:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [21:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.77 n1: 8.77 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 502 n1: 502 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: TF Residual t0: [00:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 90 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 13.125 vu: ml id: ProBalance t0: [00:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: ProBalance t0: [22:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [23:00:00 25/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [00:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 25/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [00:00:00 26/01/2020] 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: [01:00:00 26/01/2020] 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: [22:00:00 25/01/2020] 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: [23:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 25/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 17.125 cv: 788.594 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 17.125 cv: 788.594 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 27.125 cv: 968.594 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 27.125 cv: 968.594 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 10 cv: 180 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 180 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 10 cv: 30 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU cv: 1150 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 27.125 cv: -181.406 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 27.125 cv: -181.406 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 27.125 cv: -1837.37 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 27.125 cv: -1837.37 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU pv: 27.125 cv: 27.125 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU pv: 27.125 cv: 27.125 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/01/2020] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/01/2020] el: 3 cg: RN cu: CSRU cv: 1150 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Pt./Family Informed t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 172 n1: 172 rs: Manual st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.8125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [01:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Service Type t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Activity t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Assistance Device t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Therapeutic Bed t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Weight Change t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [20:00:00 25/01/2020] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.8125 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.8125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [02:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [02:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: No Spon Resp st: NotStopd id: ETT Mark/Location t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.79 n1: 8.79 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 522 n1: 522 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 152 n1: 152 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Lactic Acid t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:57:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: WBC t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: Hematocrit t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 35.8 n1: 35.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 205 n1: 205 rs: Final st: NotStopd id: RBC t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 5.37 n1: 5.37 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd
id: PT t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: INR t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd
id: PTT t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 30.6 n1: 30.6 rs: Final st: NotStopd id: PTT(22-35) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 30.6 n1: 30.6 rs: Final st: NotStopd
id: BUN t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 26/01/2020] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
pi: 4313498 hi: 27244 t0: [07:00:00 26/01/2020] tf: [06:00:00 27/01/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #2 Reason DC'D t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clotted off st: NotStopd id: Risk for Falls t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Insert Date t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #2 Insert Date t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 14 gauge st: NotStopd id: IV #2 Site/Size t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [05:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 182 n1: 182 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [02:00:00 26/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [04:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 85 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.8125 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.25 vu: ml id: Urine Out Foley t0: [04:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [03:00:00 26/01/2020] 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: [04:00:00 26/01/2020] 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: [05:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 35 cv: 1155 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 35 cv: 1155 ac: 24 ap: none re: 0
id: Service Type t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [05:00:00 26/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [06:00:00 26/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Dopamine t0: [06:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [06:05:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:10:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:25:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [05:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:45:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:15:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:35:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:40:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:50:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 8.20312 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.25 vu: ml
id: Fentanyl t0: [05:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:45:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:15:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:35:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:40:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:50:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:45:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [05:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:45:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:15:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:35:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:40:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:50:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 13 cv: 807.359 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: 23 cv: 2238.36 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: -12 cv: 1083.36 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: -12 cv: -754.011 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU pv: -12 cv: -12 ac: 1 ap: none re: 0
id: Compliance (40-60ml) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 32.3887 n1: 32.3887 u1: units st: NotStopd id: ETT Mark/Location t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 32.3887 n1: 32.3887 u1: units st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0.247 n1: 0.247 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 508 n1: 508 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 26/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Eye Opening t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Stool Guaiac t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.25 vu: ml id: Urine Out Foley t0: [08:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [08:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Arterial BP t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Heart Rate t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: Urine Out Foley t0: [10:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [10:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 26/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: ETT Mark/Location t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 25cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Airway Size t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 26/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: Urine Out Foley t0: [12:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Dopamine t0: [11:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.7 st: NotStopd id: Inspired Gas Temp t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 502 n1: 502 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [12:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4314147 hi: 27244 t0: [13:00:00 26/01/2020] tf: [16:00:00 26/01/2020] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4314148 hi: 27244 t0: [13:00:00 26/01/2020] tf: [16:00:00 26/01/2020] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: RSBI (<100) t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20.8955 n1: 20.8955 u1: units st: NotStopd id: ETT Mark/Location t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: Airway Size t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: RSBI (<200) t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20.8955 n1: 20.8955 u1: units st: NotStopd id: Spon RR (Mech.) t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0.335 n1: 0.335 u1: L st: NotStopd id: Ventilator Type t0: [12:30:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [12:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [12:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [13:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Service Type t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temperature C (calc) t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [13:30:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [13:30:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 307 vu: ml uu: Units nb: 1
id: Dopamine t0: [13:30:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temperature C (calc) t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fresh Frozen Plasma t0: [14:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 268 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [14:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Dopamine t0: [14:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [14:20:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:30:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 22.9688 vu: ml id: Fresh Frozen Plasma t0: [14:30:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 322 vu: ml uu: Units nb: 1
id: Dopamine t0: [14:20:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 515 n1: 515 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 26/01/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: INV Line#1 Type/Site t0: [16:00:00 26/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [16:00:00 26/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [16:00:00 26/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [16:00:00 26/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4314650 hi: 27244 t0: [17:00:00 26/01/2020] tf: [01:00:00 31/01/2020] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4314651 hi: 27244 t0: [17:00:00 26/01/2020] tf: [01:00:00 31/01/2020] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [14:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [14:00:00 26/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 15.75 vu: ml id: Fresh Frozen Plasma t0: [16:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 249 vu: ml uu: Units nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 11.25 vu: ml id: Urine Out Foley t0: [16:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Fentanyl t0: [15:00:00 26/01/2020] 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: [16:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Arterial BP t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 169 n1: 169 rs: Manual st: NotStopd
id: Fentanyl t0: [17:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temperature C (calc) t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [18:00:00 26/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: Fresh Frozen Plasma t0: [17:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 255 vu: ml uu: Units
id: Fentanyl t0: [18:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 26/01/2020] el: 2 cg: RN cu: CCU cv: 1401 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU cv: 1401 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [18:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Fingerstick Glucose t0: [18:00:00 26/01/2020] el: 0 cg: PCT cu: CCU v1: 213 n1: 213 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.64 n1: 8.64 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 506 n1: 506 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 26/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [20:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/01/2020] 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 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [21:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Fentanyl t0: [21:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ProBalance t0: [22:00:00 26/01/2020] el: 1 ai: 107 cg: PCT cu: CCU vo: 10 vu: ml st: Restart
id: Less Restrict Meas. t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [22:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: IV #3 Reason DC'D t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Treatment DC'D st: NotStopd id: Risk for Falls t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Cap Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV#3 Cap Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: TF Residual t0: [20:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: ProBalance t0: [23:00:00 26/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 26/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [22:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Fentanyl t0: [23:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 26/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 13 cv: 807.359 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 23 cv: 2238.36 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 30 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 1155 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: -12 cv: 1083.36 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: -12 cv: -754.011 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: -12 cv: -12 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/01/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 1155 ac: 24 ap: none re: 0
id: SpO2 t0: [20:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:00:00 26/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 475 n1: 475 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: CVP t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [00:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous Weight t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:40:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:35:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:40:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 181 n1: 181 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: ProBalance t0: [00:00:00 27/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [00:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [00:00:00 27/01/2020] 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: [00:10:00 27/01/2020] 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: [00:25:00 27/01/2020] 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: [00:35:00 27/01/2020] 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: [00:40:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:10:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:25:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:35:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:40:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Dopamine t0: [00:25:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:35:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 10 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 10 ac: 24 ap: none re: 0
id: Service Type t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [00:45:00 27/01/2020] 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: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:45:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:45:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [00:40:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:45:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: SaO2 t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:2.7 st: NotStopd id: Airway Size t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.331 n1: 0.331 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 517 n1: 517 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: ETT Mark/Location t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Respiratory Rate Set t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: WBC (4-11,000) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: CVP t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CaO2 t0: [03:43:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.5797 n1: 12.5797 u1: ml/dl st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: WBC t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: Diet Type t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Hematocrit t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.37 n1: 4.37 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 rs: Final st: NotStopd
id: Fentanyl t0: [01:00:00 27/01/2020] 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: [02:00:00 27/01/2020] 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: [03:00:00 27/01/2020] 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: [04:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [01:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Dopamine t0: [01:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: PT t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: INR t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 31.2 n1: 31.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:17:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 31.2 n1: 31.2 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Temp. Site t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [02:00:00 27/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 8.85938 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [01:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Dopamine t0: [05:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV #3 Reason DC'D t0: [06:00:00 27/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [06:00:00 27/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [06:00:00 27/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [06:00:00 27/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4315583 hi: 27244 t0: [07:00:00 27/01/2020] tf: [06:00:00 28/01/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: CaO2 t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.8888 n1: 12.8888 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: SaO2 t0: [06:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 6.96 n1: 6.96 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 553 n1: 553 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [06:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CaO2 t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 13.0356 n1: 13.0356 u1: ml/dl st: NotStopd id: Code Status t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Assistance Device t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [03:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [05:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#2 Cap Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: SaO2 t0: [06:47:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3.9375 vu: ml id: Urine Out Foley t0: [06:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Dopamine t0: [06:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 1009.97 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 1079.97 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 795 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 284.972 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: -469.039 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 795 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [06:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 27/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: ETT Mark/Location t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: Motor Response t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PEEP Set t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Temp. Site t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 554 n1: 554 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Urine Source t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3.9375 vu: ml id: Urine Out Foley t0: [08:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Dopamine t0: [07:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4315758 hi: 27244 t0: [09:00:00 27/01/2020] tf: [08:00:00 28/01/2020] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4315800 hi: 27244 t0: [09:00:00 27/01/2020] tf: [08:00:00 28/01/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 90 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Family Communication t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Reason For Restraint t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Behavior t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: ETT Mark/Location t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: High Resp. Rate t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 st: NotStopd id: Ve High t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Ventilator Mode t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:15:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 13.0883 n1: 13.0883 u1: ml/dl st: NotStopd id: Potassium t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: SaO2 t0: [08:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Activity t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Oral Care t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3.9375 vu: ml id: Urine Out Foley t0: [09:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Dopamine t0: [09:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4316105 hi: 27244 t0: [11:00:00 27/01/2020] tf: [10:00:00 28/01/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Significant Events t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: calprevflg t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 27/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 3.9375 vu: ml id: Urine Out Foley t0: [10:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: D5W 100.0ml t0: [08:00:00 27/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Dopamine t0: [10:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 27/01/2020] 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: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [10:45:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.625 vu: ml
id: Dopamine t0: [10:45:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Oral Care t0: [11:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [10:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 553 n1: 553 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 13.1658 n1: 13.1658 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [12:08:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 27/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Previous Weight t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Previous WeightF t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:05:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:10:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:20:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:25:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1.3125 vu: ml id: Urine Out Foley t0: [11:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [12:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Dopamine t0: [12:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:05:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:10:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:15:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:20:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:25:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:30:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [12:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd
id: Service Type t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Activity t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Care t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.3 vu: ml id: Urine Out Foley t0: [13:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Dopamine t0: [13:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Pressure Support t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Ventilator Type t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: Urine Out Foley t0: [14:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [14:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Resp Rate (Spont) t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Spon Minute VE L/min t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 433 n1: 433 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Other/Remarks st: NotStopd
id: Service Type t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [15:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 55 n1: 55 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5.2 n1: 5.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon Minute VE L/min t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 555 n1: 555 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Other/Remarks st: NotStopd id: Ventilator Type t0: [16:00:00 27/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 27/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [16:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [16:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: CaO2 t0: [15:02:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 13.7475 n1: 13.7475 u1: ml/dl st: NotStopd id: WBC t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: Hematocrit t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 32.3 n1: 32.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 rs: Final st: NotStopd id: RBC t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.69 n1: 4.69 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd
id: BUN t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Chloride t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Potassium t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:51:00 27/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Temp. Site t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [17:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/01/2020] 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 27/01/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [18:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [18:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [19:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [19:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 6.07 n1: 6.07 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: 593 n1: 593 u1: ml/B st: NotStopd id: Ventilator Type t0: [20:00:00 27/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 27/01/2020] el: 1 ai: 189 cg: CoWker cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 27/01/2020] el: 1 ai: 189 cg: CoWker cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 27/01/2020] el: 1 ai: 189 cg: CoWker cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [20:00:00 27/01/2020] el: 1 cg: CoWker cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 27/01/2020] el: 1 cg: CoWker cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Diet Type t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Activity t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [16:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Therapeutic Bed t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Urine Out Foley t0: [20:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Dopamine t0: [20:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4318598 hi: 27244 t0: [22:00:00 27/01/2020] tf: [21:00:00 28/01/2020] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Heart Rate t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Care t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Source/Amt t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Back Care t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [21:00:00 27/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [22:00:00 27/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 7.875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 27/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [21:00:00 27/01/2020] 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: [22:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 1009.97 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 795 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 795 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 27/01/2020] el: 0 cg: CoWker cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 27/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [21:00:00 27/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 6.5625 vu: ml id: Gastric Meds t0: [21:00:00 27/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [00:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: 24h Total In t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 1079.97 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 27/01/2020] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 284.972 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: -469.039 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 537 n1: 537 u1: ml/B st: NotStopd id: Ventilator Type t0: [00:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Position Change t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Mobility t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Nutrition t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden Score t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/01/2020] 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 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Pain Present t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [03:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: ETT Mark/Location t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 6.31 n1: 6.31 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 488 n1: 488 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Activity t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/01/2020] 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 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:50:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: BUN t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Calcium t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: WBC t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Hematocrit t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: RBC t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.39 n1: 4.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [05:00:00 28/01/2020] 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 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [06:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 28.9855 n1: 28.9855 u1: units st: NotStopd id: RSBI (<200) t0: [06:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 28.9855 n1: 28.9855 u1: units st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 28/01/2020] el: 0 cg: 2827 cu: CCU v1: 0.345 n1: 0.345 u1: L st: NotStopd
id: Service Type t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [07:00:00 28/01/2020] 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: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 148 n1: 148 rs: Manual st: NotStopd
id: Fentanyl t0: [07:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Position Change t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [06:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: PT t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: INR t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 31.3 n1: 31.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:37:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 31.3 n1: 31.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 28/01/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: calprevflg t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [08:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 85 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [08:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Resp Rate (Total) t0: [08:48:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [08:48:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd
id: Service Type t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Cap Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Fentanyl t0: [09:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4320196 hi: 27244 t0: [10:00:00 28/01/2020] tf: [17:00:00 02/02/2020] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4320197 hi: 27244 t0: [11:00:00 28/01/2020] tf: [18:00:00 28/01/2020] mn: Senna pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4320198 hi: 27244 t0: [20:00:00 28/01/2020] tf: [21:00:00 15/02/2020] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4320199 hi: 27244 t0: [16:00:00 28/01/2020] tf: [22:00:00 29/01/2020] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Set) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:00:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Position Change t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [10:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 28/01/2020] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Ectopy Frequency t0: [11:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [11:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 1 vu: ml
id: Midazolam t0: [10:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Alarms t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Arterial BP t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 167 n1: 167 rs: Manual st: NotStopd
id: Fentanyl t0: [11:00:00 28/01/2020] el: 1 cg: CoWker cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 28/01/2020] el: 1 cg: CoWker cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 28/01/2020] el: 1 cg: CoWker cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Extubation Date t0: [11:45:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: FiO2 Set t0: [11:45:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Intubation Date t0: [11:45:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: O2 Flow (lpm) t0: [11:45:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: SpO2 t0: [11:45:00 28/01/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: GI#1 Intub Site t0: [12:00:00 28/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [12:00:00 28/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [12:00:00 28/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Level t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 0-None st: NotStopd id: Pain Present t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 28/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Education Topic #2 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: FiO2 Set t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Contusion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 0-None st: NotStopd id: Pain Location t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 28/01/2020] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [12:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Dopamine t0: [12:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4321151 hi: 27244 t0: [08:00:00 28/01/2020] tf: [10:00:00 29/01/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: O2 Delivery Device t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Arterial BP t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: WBC t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Hematocrit t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: RBC t0: [15:30:00 28/01/2020] 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: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd
id: Sodium t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:30:00 28/01/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 155 n1: 155 rs: Manual st: NotStopd
id: Pain Level t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 28/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Pain Management t0: [16:00:00 28/01/2020] el: 1 cg: RN cu: CCU v1: PO Med v2: Repositioned st: NotStopd id: Pain Type t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Cramping st: NotStopd id: Arterial BP Mean t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [14:00:00 28/01/2020] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [16:00:00 28/01/2020] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: D5W 100.0ml t0: [08:00:00 28/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [14:00:00 28/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/01/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 135 vu: ml
id: Service Type t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4322085 hi: 27244 t0: [19:00:00 28/01/2020] tf: [08:00:00 29/01/2020] 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: 4322111 hi: 27244 t0: [20:00:00 28/01/2020] tf: [21:00:00 15/02/2020] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4322112 hi: 27244 t0: [19:00:00 28/01/2020] tf: [21:00:00 15/02/2020] mn: Lactulose pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/01/2020] 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 28/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
pi: 4322326 hi: 27244 t0: [20:00:00 28/01/2020] tf: [22:00:00 30/01/2020] mn: Zolpidem Tartrate pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
io: D5/.45NS 1000.0ml el: 1 cg: RN cu: CCU ra: 75 ru: ml/hr
id: Pain Present t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 28/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 28/01/2020] 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: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [20:00:00 28/01/2020] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [19:00:00 28/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [20:00:00 28/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5/.45NS 1000.0ml t0: [20:00:00 28/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vu: ml nb: 1 id: D5/.45NS 1000.0ml t0: [21:00:00 28/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [20:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [21:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: HOB t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Level of Conscious t0: [21:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/01/2020] 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 28/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Side Rails t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Po Intake t0: [22:00:00 28/01/2020] el: 1 ai: 103 cg: RN cu: CCU vo: 40 vu: ml id: D5/.45NS 1000.0ml t0: [22:00:00 28/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [22:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU cv: 420 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU cv: 420 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 28/01/2020] el: 0 cg: CoWker cu: CCU v1: 209 n1: 209 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Extubation Date t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Heart Rate t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Intubation Date t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: O2 Delivery Device t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/01/2020] 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 28/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ventilator Type t0: [22:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [23:00:00 28/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [23:00:00 28/01/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 75 cv: 820.562 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 75 cv: 820.562 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 75 cv: 1240.56 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 75 cv: 1240.56 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 885 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 20 cv: 885 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 55 cv: 355.562 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: 355.562 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 55 cv: -113.476 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: -113.476 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 55 cv: 55 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: 55 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/01/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 885 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/01/2020] el: 3 cg: RN cu: CSRU pv: 20 cv: 885 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Eye Opening t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [23:00:00 28/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [00:00:00 29/01/2020] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [00:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [00:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: CCU cv: 100 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Pain Present t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: HOB t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Activity t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Level of Conscious t0: [00:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 29/01/2020] 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: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Ventilator Type t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [01:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5/.45NS 1000.0ml t0: [02:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [02:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/01/2020] 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 29/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [03:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: WBC (4-11,000) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: WBC t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: Hematocrit t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.11 n1: 4.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd
id: Platelets t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd
id: BUN t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:57:00 29/01/2020] 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: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 16.9 n1: 16.9 rs: Final st: NotStopd id: INR t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 34.9 n1: 34.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 16.9 n1: 16.9 rs: Final st: NotStopd id: PTT(22-35) t0: [02:57:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 34.9 n1: 34.9 rs: Final st: NotStopd
id: Pain Present t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [05:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Eye Opening t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Level of Conscious t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/01/2020] 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 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5/.45NS 1000.0ml t0: [04:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [05:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [05:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Extubation Date t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: HOB t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Airway Type t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: Level of Conscious t0: [05:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Level of Conscious t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: O2 Delivery Device t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/01/2020] 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 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: INV#2 Cap Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Ventilator Type t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [06:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 29/01/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5/.45NS 1000.0ml t0: [06:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [06:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml
pi: 4323490 hi: 27244 t0: [08:00:00 29/01/2020] tf: [20:00:00 29/01/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Eye Opening t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5/.45NS 1000.0ml t0: [08:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [08:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml
pi: 4323607 hi: 27244 t0: [09:00:00 29/01/2020] tf: [18:00:00 02/02/2020] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 9 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4323608 hi: 27244 t0: [09:00:00 29/01/2020] tf: [10:00:00 29/01/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours
id: INV#2Chg o/Wire Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Reason DC'D t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Reason DC'D t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Reason DC'D t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Site Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Insert Date t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Site/Size t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #4 t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [10:00:00 29/01/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Arterial BP t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: IV #1 Reason DC'D t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Routine Change st: NotStopd id: IV #2 Reason DC'D t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Routine Change st: NotStopd id: Risk for Falls t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#2 D/C Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #1 D/C Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #2 D/C Date t0: [08:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Manual BP t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [10:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [09:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [10:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [11:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [09:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Blood Products t0: [11:26:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 29/01/2020] el: 0 cg: CoWker cu: CCU v1: 198 n1: 198 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Eye Opening t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Manual BP t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Manual BP t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [11:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Motor Response t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5/.45NS 1000.0ml t0: [12:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [13:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 65 vu: ml
id: WBC (4-11,000) t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: WBC t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: Hematocrit t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 30.2 n1: 30.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.35 n1: 4.35 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd
id: Platelets t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd
id: Potassium t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:52:00 29/01/2020] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 29/01/2020] el: 0 cg: CoWker cu: CCU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Pain Present t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 29/01/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Extubation Date t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Eye Opening t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Arm, Right Lower st: NotStopd id: Airway Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Intubation Date t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Manual BP t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Manual BP t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Manual BP t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Manual BP t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Manual BP t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Motor Response t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5/.45NS 1000.0ml t0: [14:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [15:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [16:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [17:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS 1000.0ml t0: [18:00:00 29/01/2020] el: 1 ai: 1149 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [15:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [18:00:00 29/01/2020] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 1475 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 1475 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 1575 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 1575 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 575 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 575 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 1000 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 1000 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 886.524 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 886.524 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/01/2020] el: 2 cg: RN cu: -1 cv: 575 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/01/2020] el: 3 cg: RN cu: CSRU cv: 575 ac: 24 ap: none re: 0
id: Service Type t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Precautions t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 29/01/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4325597 hi: 27244 t0: [19:00:00 29/01/2020] tf: [22:00:00 30/01/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4325598 hi: 27244 t0: [19:00:00 29/01/2020] tf: [22:00:00 30/01/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 36447 t0: [07:54:00 24/01/2020] cu: CCU de: Regular ward dt: 7838
pi: 4326318 hi: 27244 t0: [23:00:00 29/01/2020] tf: [22:00:00 30/01/2020] mn: Heparin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 it: N ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4326319 hi: 27244 t0: [23:00:00 29/01/2020] tf: [22:00:00 30/01/2020] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4326376 hi: 27244 t0: [22:00:00 29/01/2020] tf: [16:00:00 30/01/2020] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4327115 hi: 27244 t0: [08:00:00 30/01/2020] tf: [22:00:00 30/01/2020] mn: Potassium Phosphate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4327796 hi: 27244 t0: [12:00:00 30/01/2020] tf: [22:00:00 30/01/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 240 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4328682 hi: 27244 t0: [16:00:00 30/01/2020] tf: [20:00:00 02/02/2020] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4328683 hi: 27244 t0: [16:00:00 30/01/2020] tf: [01:00:00 31/01/2020] mn: Ipratropium Bromide Neb pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H ds: 16, 22, 4, 10 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4328684 hi: 27244 t0: [16:00:00 30/01/2020] tf: [01:00:00 31/01/2020] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 16, 22, 4, 10 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4328946 hi: 27244 t0: [17:00:00 30/01/2020] tf: [22:00:00 30/01/2020] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4329045 hi: 27244 t0: [18:00:00 30/01/2020] tf: [19:00:00 30/01/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 200 ml/hr for 200 ml ir: 200 it: C ss: N dt: 1 di: Hours xu: Enter on Label pi: 4329046 hi: 27244 t0: [18:00:00 30/01/2020] tf: [22:00:00 30/01/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 70 ml/hr for 420 ml ir: 70 it: C ss: N dt: 6 di: Hours xu: Enter on Label pi: 4329047 hi: 27244 t0: [20:00:00 30/01/2020] tf: [22:00:00 30/01/2020] mn: Acetylcysteine 20% pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 dt: 4 di: Doses xv: 36 xu: Hours
pi: 4329363 hi: 27244 t0: [19:00:00 30/01/