This log is also available as text (104ac.txt) and as a (binary) annotation file (104ac.log).
Generated: Thursday, 23-Apr-2009 00:34:43 EDT
(All dates below are surrogates.)
pi: 3354573 hi: 14768 t0: [18:00:00 27/04/2014] tf: [20:00:00 01/05/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3354574 hi: 14768 t0: [18:00:00 27/04/2014] tf: [00:00:00 28/04/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 60 ml/hr ir: 60 it: C ss: N di: Ongoing xu: Enter on Label pi: 3354575 hi: 14768 t0: [18:00:00 27/04/2014] tf: [02:00:00 28/04/2014] mn: Colchicine pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3354576 hi: 14768 t0: [10:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3354577 hi: 14768 t0: [10:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Pravastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3354578 hi: 14768 t0: [20:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3354579 hi: 14768 t0: [18:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 3354581 hi: 14768 t0: [20:00:00 27/04/2014] tf: [00:00:00 28/04/2014] 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: 3355138 hi: 14768 t0: [00:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Nitroglycerin SL pt: Unit Dose st: Discontinued rt: SL fr: PRN di: Ongoing xv: 36 xu: Hours pi: 3355139 hi: 14768 t0: [10:00:00 28/04/2014] tf: [00:00:00 28/04/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355140 hi: 14768 t0: [00:00:00 28/04/2014] tf: [00:00:00 28/04/2014] mn: Aluminum-Magnesium Hydrox.-Simethicone pt: Unit Dose st: Discontinued rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours pi: 3355141 hi: 14768 t0: [00:00:00 28/04/2014] tf: [23:00:00 28/04/2014] pt: IV Piggyback st: Expired rt: PB fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CCU am: 600 du: mgmin rt: IV Drip id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: RN cu: CCU am: 60 du: mcgkgmin rt: IV Drip
id: SAPS-I t0: [00:00:00 28/04/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
io: D5W 250.0ml + 600mgmin Amiodarone el: 1 cg: RN cu: CCU ra: 0 ru: ml/hr io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 1 cg: RN cu: CCU ra: 33.5 ru: ml/hr
pi: 3355251 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3355252 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 85 ml/hr ir: 85 it: C ss: N di: Ongoing xu: Enter on Label pi: 3355253 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3355254 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label pi: 3355255 hi: 14768 t0: [10:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PR fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:15:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [00:17:00 28/04/2014] el: 1033 cg: -1 cu: CCU v1: 1.80772 n1: 1.80772 u1: m2 id: Admit Wt t0: [00:17:00 28/04/2014] el: 1032 cg: -1 cu: CCU v1: 67 n1: 67 u1: kg id: Allergy 1 t0: [00:17:00 28/04/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [00:17:00 28/04/2014] el: 1023 cg: -1 cu: CCU v1: CLAUDICATION id: Service t0: [00:17:00 28/04/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [00:17:00 28/04/2014] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [00:17:00 28/04/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [00:17:00 28/04/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [00:17:00 28/04/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [00:17:00 28/04/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [00:17:00 28/04/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [00:17:00 28/04/2014] el: 1022 cg: -1 cu: CCU
id: Ectopy Frequency t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Previous Weight t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] 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: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: BSA - English t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1.16747 n1: 1.16747 u1: m2 st: NotStopd id: BSA - Metric t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1.36561 n1: 1.36561 u1: m2 st: NotStopd id: Weight Change t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd
id: Amiodarone t0: [00:20:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [00:25:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:15:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.0955224 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:20:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] 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 28/04/2014] 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: [00:30:00 28/04/2014] 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: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:30:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:25:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:30:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: WBC t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Hematocrit t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd
pi: 3355330 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 3355331 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3355332 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Magnesium Sulfate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: BUN t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Risk for Falls t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: Urine Source t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Pre-Admission Intake t0: [00:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1000 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: HOB t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Turn t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
id: KCL io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CCU am: 40 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
pi: 3355383 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Pravastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355384 hi: 14768 t0: [08:00:00 28/04/2014] tf: [17:00:00 29/04/2014] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3355385 hi: 14768 t0: [08:00:00 28/04/2014] tf: [20:00:00 01/05/2014] 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: 3355386 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 3355387 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355388 hi: 14768 t0: [03:00:00 28/04/2014] tf: [03:00:00 30/04/2014] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3355389 hi: 14768 t0: [03:00:00 28/04/2014] tf: [12:00:00 28/04/2014] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label pi: 3355413 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355414 hi: 14768 t0: [08:00:00 28/04/2014] tf: [19:00:00 30/04/2014] mn: Acetylcysteine 20% pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 3 di: Doses xv: 36 xu: Hours pi: 3355415 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 3355416 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] pt: IV Large Volume st: Discontinued via patient discharge rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 65 ml/hr ir: 65 it: C ss: N di: Ongoing xu: Enter on Label
id: Riker-SAS Scale t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [02:00:00 28/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 31.25 vu: ml id: .9% Normal Saline 500.0ml t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 44.8 vu: ml id: Urine Out Foley t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1043.05 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 2963.05 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1360 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1603.05 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1603.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1360 ac: 24 ap: none re: 0
id: ALT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd
io: .9% Normal Saline 250.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
id: Riker-SAS Scale t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] 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 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 33.5 vu: ml id: Urine Out Foley t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Risk for Falls t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: LLL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Magnesium Sulfate io: .9% Normal Saline 250.0ml el: 201 cg: RN cu: CCU am: 3 du: gm rt: Intravenous Push
id: Riker-SAS Scale t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml t0: [02:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml t0: [04:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 250 vu: ml
id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 33.5 vu: ml st: Stopped id: .9% Normal Saline 250.0ml t0: [06:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml st: Stopped id: Urine Out Foley t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Present t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Orientation t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Position t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] 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 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [08:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Amiodarone t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd id: WBC t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd id: Hematocrit t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.6 n1: 31.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: RBC t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.33 n1: 3.33 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd
id: BUN t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Sodium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Pain Present t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Pain Location t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] 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 28/04/2014] 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 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: IV Site Appear #1 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Side Rails t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Temp. Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: Deg. F st: NotStopd id: Temperature F t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: Deg. F st: NotStopd id: Turn t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Pre-Admission Intake t0: [08:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: Pre-Admission Intake t0: [11:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 550 vu: ml
id: NBP t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd
pi: 3356648 hi: 14768 t0: [20:00:00 28/04/2014] tf: [05:00:00 01/05/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3356649 hi: 14768 t0: [16:00:00 28/04/2014] tf: [05:00:00 01/05/2014] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CPK/MB t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: Pain Present t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Location t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd
id: Pre-Admission Intake t0: [12:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 240 vu: ml
id: Pain Present t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: Level of Conscious t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: O2 Delivery Device t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Turn t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CPK/MB t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd
id: Pain Present t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Turn t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 62.6667 n1: 62.6667 u1: mmHg st: NotStopd
id: Urine Out Foley t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Risk for Falls t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [16:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [16:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] 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 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Amiodarone t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [17:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [17:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 28/04/2014] el: 0 cg: CoWker cu: CCU v1: 141 n1: 141 rs: Manual st: NotStopd
id: Pain Present t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Risk for Falls t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] 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: [19:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Turn t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Pre-Admission Intake t0: [17:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Amiodarone t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Creatinine t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: BUN (6-20) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Risk for Falls t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] 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 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95.6 n1: 95.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Risk for Falls t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Intake t0: [22:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 120 vu: ml
id: Amiodarone t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 28/04/2014] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd
id: BUN t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Creatinine t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: BUN (6-20) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd
id: Risk for Falls t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] 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 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 29/04/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 29/04/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Risk for Falls t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Amiodarone t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Risk for Falls t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: BSA t0: [00:55:00 29/04/2014] el: 1033 cg: -1 cu: CCU v1: 1.80772 n1: 1.80772 u1: m2 id: calprevflg t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Admit Wt t0: [00:55:00 29/04/2014] el: 1032 cg: -1 cu: CCU v1: 67 n1: 67 u1: kg id: Allergy 1 t0: [00:55:00 29/04/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [00:55:00 29/04/2014] el: 1023 cg: -1 cu: CCU v1: CLAUDICATION id: Service t0: [00:55:00 29/04/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [00:55:00 29/04/2014] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [00:55:00 29/04/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [00:55:00 29/04/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [00:55:00 29/04/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [00:55:00 29/04/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [00:55:00 29/04/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [00:55:00 29/04/2014] el: 1022 cg: -1 cu: CCU
id: NBP t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Risk for Falls t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: LLL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Orientation t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [02:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Total Hourly Output t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 2760 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: -1300 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 303.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 2820 ac: 24 ap: none re: 0
id: Risk for Falls t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Risk for Falls t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: O2 Delivery Device t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: WBC (4-11,000) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: WBC t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: Hematocrit t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: RBC t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd
id: Pain Level t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Level of Conscious t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 54.3333 n1: 54.3333 u1: mmHg st: NotStopd id: Orientation t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Assistance Device t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Turn t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: PT t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: INR t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: BUN t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Risk for Falls t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Intake t0: [04:00:00 29/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Present t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] 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 29/04/2014] 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: [09:00:00 29/04/2014] 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 29/04/2014] 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 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [11:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Urine Out Foley t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 3360814 hi: 14768 t0: [17:00:00 29/04/2014] tf: [16:00:00 29/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3360827 hi: 14768 t0: [17:00:00 29/04/2014] tf: [15:00:00 30/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q2H ds: 17, 19, 21, 23, 1, 3, 5, 7, 9, 11, 13, 15 dn: 12 di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: O2 Delivery Device t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Urine Out Foley t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 290 vu: ml
id: Arterial BP t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Dorsal PedPulse R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Verbal Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: HOB t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Procedures t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd
pi: 3360940 hi: 14768 t0: [18:00:00 29/04/2014] tf: [23:00:00 29/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IVPCA fr: ASDIR dn: 0 di: Ongoing xv: 36 xu: Hours pi: 3361003 hi: 14768 t0: [18:00:00 29/04/2014] tf: [17:00:00 29/04/2014] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Heart Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: O2 Delivery Device t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: RLL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline t0: [17:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [17:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: O2 Delivery Device t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Cause t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [17:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Turn t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Cath Lab Intake t0: [16:00:00 29/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1200 vu: ml id: Urine Out Foley t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: OR Out OR Urine t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Arterial BP t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Temperature C t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pre-Admission Intake t0: [20:00:00 29/04/2014] el: 1 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd id: OR Out OR Urine t0: [20:00:00 29/04/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] 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: [19:30:00 29/04/2014] 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 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] 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 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [20:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Temp. Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Service Type t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] 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 29/04/2014] 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: [21:30:00 29/04/2014] 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: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] 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 29/04/2014] 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 29/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] 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 29/04/2014] 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 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [23:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 260 vu: ml id: Urine Out Foley t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 210 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 60 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] 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 30/04/2014] 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: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB Measurement t0: [03:00:00 30/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 3362315 hi: 14768 t0: [08:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 48.6667 n1: 48.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 30/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: Po Intake t0: [22:00:00 29/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline t0: [03:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: 24h Total In t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 1520 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 200 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 200 ac: 24 ap: none re: 0
id: Pain Level t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Level t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [01:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Diet Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: Eye Opening t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Activity t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #1 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Cause t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level (Rest) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Level (Rest) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Pain Management t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Burning st: NotStopd id: Pain Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Behavior t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] 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 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Temp. Site t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Pain Level t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Pain Cause t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Burning st: NotStopd id: Precautions t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3362568 hi: 14768 t0: [08:00:00 30/04/2014] tf: [07:00:00 01/05/2014] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: INR t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: PTT(22-35) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: WBC t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: Hematocrit t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: RBC t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.05 n1: 3.05 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd
id: BUN t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Phosphorous t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Pain Present t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [07:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Limitations st: NotStopd id: Braden Moisture t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline t0: [06:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [07:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Precautions t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heart Rhythm t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd
id: Pain Present t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: O2 Delivery Device t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Precautions t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] 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 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 30/04/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline t0: [09:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 300 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 500 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 650 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: -150 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 153.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 650 ac: 24 ap: none re: 0
pi: 3363398 hi: 14768 t0: [13:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q 12H ds: 8, 20 dn: 2 dt: 48 di: Hours xv: 36 xu: Hours
ci: 31076 t0: [00:16:00 28/04/2014] cu: CCU de: Regular ward dt: 3643
pi: 3364073 hi: 14768 t0: [16:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours
pi: 3366191 hi: 14768 t0: [10:00:00 01/05/2014] tf: [20:00:00 01/05/2014] mn: Metoprolol XL pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3366192 hi: 14768 t0: [10:00:00 01/05/2014] tf: [20:00:00 01/05/2014] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4064510 hi: 10689 t0: [21:00:00 28/11/2014] tf: [09:00:00 29/11/2014] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4064924 hi: 10689 t0: [00:00:00 29/11/2014] tf: [08:00:00 29/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4064925 hi: 10689 t0: [08:00:00 29/11/2014] tf: [15:00:00 23/12/2014] mn: Sotalol HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4064926 hi: 10689 t0: [00:00:00 29/11/2014] tf: [10:00:00 30/12/2014] mn: Mexiletine HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4064927 hi: 10689 t0: [00:00:00 29/11/2014] tf: [13:00:00 11/12/2014] mn: Allopurinol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours pi: 4064928 hi: 10689 t0: [10:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064929 hi: 10689 t0: [10:00:00 29/11/2014] tf: [08:00:00 29/12/2014] mn: Pravastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064930 hi: 10689 t0: [00:00:00 29/11/2014] tf: [09:00:00 03/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4064931 hi: 10689 t0: [00:00:00 29/11/2014] tf: [10:00:00 31/12/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4064932 hi: 10689 t0: [00:00:00 29/11/2014] tf: [13:00:00 29/11/2014] mn: Acetaminophen pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4064933 hi: 10689 t0: [10:00:00 29/11/2014] tf: [14:00:00 29/11/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064934 hi: 10689 t0: [10:00:00 29/11/2014] tf: [11:00:00 29/11/2014] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064935 hi: 10689 t0: [08:00:00 29/11/2014] tf: [17:00:00 29/11/2014] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4064936 hi: 10689 t0: [08:00:00 29/11/2014] tf: [22:00:00 05/01/2015] 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: 4064937 hi: 10689 t0: [22:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064938 hi: 10689 t0: [00:00:00 29/11/2014] tf: [23:00:00 29/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4065144 hi: 10689 t0: [02:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4065145 hi: 10689 t0: [02:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4065693 hi: 10689 t0: [10:00:00 29/11/2014] tf: [09:00:00 22/12/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Discontinued rt: PO fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4065789 hi: 10689 t0: [11:00:00 29/11/2014] tf: [10:00:00 30/11/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4065790 hi: 10689 t0: [11:00:00 29/11/2014] tf: [10:00:00 30/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4065917 hi: 10689 t0: [10:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4065957 hi: 10689 t0: [12:00:00 29/11/2014] tf: [13:00:00 11/12/2014] mn: Colchicine pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours
pi: 4066303 hi: 10689 t0: [08:00:00 29/11/2014] tf: [20:00:00 07/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 72 di: Hours xv: 36 xu: Hours pi: 4066323 hi: 10689 t0: [14:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4066366 hi: 10689 t0: [10:00:00 29/11/2014] tf: [14:00:00 29/11/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4066369 hi: 10689 t0: [10:00:00 29/11/2014] tf: [08:00:00 26/12/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4066381 hi: 10689 t0: [20:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Calcium Carbonate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4066859 hi: 10689 t0: [20:00:00 29/11/2014] tf: [19:00:00 30/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4067016 hi: 10689 t0: [21:00:00 29/11/2014] tf: [20:00:00 30/11/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4067725 hi: 10689 t0: [09:00:00 30/11/2014] tf: [08:00:00 01/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4068785 hi: 10689 t0: [17:00:00 30/11/2014] tf: [16:00:00 01/12/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4070479 hi: 10689 t0: [12:00:00 01/12/2014] tf: [11:00:00 02/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4074092 hi: 10689 t0: [08:00:00 02/12/2014] tf: [20:00:00 07/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4076117 hi: 10689 t0: [23:00:00 02/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4077215 hi: 10689 t0: [12:00:00 03/12/2014] tf: [13:00:00 23/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4078135 hi: 10689 t0: [15:00:00 03/12/2014] tf: [14:00:00 04/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4080902 hi: 10689 t0: [11:00:00 04/12/2014] tf: [08:00:00 17/12/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4084705 hi: 10689 t0: [13:00:00 05/12/2014] tf: [11:00:00 08/12/2014] mn: Levofloxacin pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 13 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4084706 hi: 10689 t0: [14:00:00 05/12/2014] tf: [11:00:00 08/12/2014] mn: Metronidazole pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4085225 hi: 10689 t0: [15:00:00 05/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4085226 hi: 10689 t0: [15:00:00 05/12/2014] tf: [15:00:00 10/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5NS Continuous at 80 ml/hr ir: 80 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4085442 hi: 10689 t0: [16:00:00 05/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4085874 hi: 10689 t0: [18:00:00 05/12/2014] tf: [20:00:00 07/12/2014] mn: Gentamicin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4091280 hi: 10689 t0: [21:00:00 07/12/2014] tf: [09:00:00 10/12/2014] mn: Gentamicin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 21 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4091281 hi: 10689 t0: [08:00:00 07/12/2014] tf: [06:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4091282 hi: 10689 t0: [21:00:00 07/12/2014] tf: [22:00:00 09/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr ir: 75 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4092191 hi: 10689 t0: [08:00:00 08/12/2014] tf: [11:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4092936 hi: 10689 t0: [08:00:00 08/12/2014] tf: [14:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093492 hi: 10689 t0: [08:00:00 09/12/2014] tf: [17:00:00 19/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093810 hi: 10689 t0: [16:00:00 08/12/2014] tf: [09:00:00 18/12/2014] mn: Levofloxacin pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 16 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093927 hi: 10689 t0: [17:00:00 08/12/2014] tf: [22:00:00 05/01/2015] mn: Milk of Magnesia pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4097158 hi: 10689 t0: [10:00:00 09/12/2014] tf: [09:00:00 15/12/2014] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4097159 hi: 10689 t0: [10:00:00 09/12/2014] tf: [14:00:00 09/12/2014] mn: Phytonadione pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours pi: 4097160 hi: 10689 t0: [10:00:00 09/12/2014] tf: [09:00:00 10/12/2014] mn: Phytonadione pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 10/12/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
pi: 4099157 hi: 10689 t0: [01:00:00 10/12/2014] tf: [03:00:00 10/12/2014] mn: Promethazine HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4099293 hi: 10689 t0: [02:00:00 10/12/2014] tf: [03:00:00 10/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV BOLUS fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4099294 hi: 10689 t0: [02:00:00 10/12/2014] tf: [09:00:00 10/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: KCL io: D5NS 1000.0ml el: 100 cg: RN cu: T-SICU am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline el: 1 cg: RN cu: T-SICU ra: 25 ru: ml/hr io: D5NS 1000.0ml el: 1 cg: RN cu: T-SICU ra: 80 ru: ml/hr
id: BSA t0: [03:06:00 10/12/2014] el: 1033 cg: 8 cu: T-SICU id: Admit Wt t0: [03:06:00 10/12/2014] el: 1032 cg: 8 cu: T-SICU id: Allergy 1 t0: [03:06:00 10/12/2014] el: 1020 cg: 8 cu: T-SICU id: Diagnosis/op t0: [03:06:00 10/12/2014] el: 1023 cg: 8 cu: T-SICU v1: AICD FIRING id: Service t0: [03:06:00 10/12/2014] el: 1026 cg: 8 cu: T-SICU v1: CME id: Admit Ht t0: [03:06:00 10/12/2014] el: 1034 cg: 8 cu: T-SICU id: Readmission t0: [03:06:00 10/12/2014] el: 1014 cg: 8 cu: T-SICU id: Marital Status t0: [03:06:00 10/12/2014] el: 1006 cg: 8 cu: T-SICU v1: S id: Religion t0: [03:06:00 10/12/2014] el: 1000 cg: 8 cu: T-SICU v1: RCA id: Allergy 2 t0: [03:06:00 10/12/2014] el: 1021 cg: 8 cu: T-SICU id: Ext t0: [03:06:00 10/12/2014] el: 1010 cg: 8 cu: T-SICU id: Allergy 3 t0: [03:06:00 10/12/2014] el: 1022 cg: 8 cu: T-SICU
id: Service Type t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Heart Rate t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: IV #1 Insert Date t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: NBP t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Present t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Daily Wake Up t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Type t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Low Cont Suction v2: Coffee Ground st: NotStopd id: HOB t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: Activity t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Cavity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Location t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Shoulder st: NotStopd id: Pain Management t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Position t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 Inapprop words st: NotStopd id: Back Care t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Hypoactive st: NotStopd id: Braden Activity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [03:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 0 vu: ml nb: 1 id: D5NS 1000.0ml t0: [03:30:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 50 vu: ml
id: Pain Assess Method t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: HOB t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: NBP t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Position t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [04:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd id: WBC t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd id: Hematocrit t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 245 n1: 245 rs: Final st: NotStopd id: RBC t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd
id: Pre-Admission Output Pre-Admission Output t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU vo: 1400 vu: ml
id: 24h Net Body Balance t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: -1400 cv: -1400 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: -1400 cv: -1400 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: -1400 cv: -1400 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: -1400 cv: -1400 ac: multiple days ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: 1400 cv: 1400 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: 1400 cv: 1400 ac: 24 ap: none re: 0
id: Code Status t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [05:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [05:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: BUN t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 63 n1: 63 rs: Final st: NotStopd id: Albumin t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Calcium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: ALT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 68 n1: 68 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: BUN (6-20) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 63 n1: 63 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 140 n1: 140 rs: Final st: NotStopd
id: PT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 31.4 n1: 31.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 31.4 n1: 31.4 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Opening t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Care t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Position t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Total Lift st: NotStopd id: Precautions t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Verbal Response t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [06:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Gastric Nasogastric t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Gastric Out Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 50 ac: 24 ap: none re: 0 id: Gastric Out Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0
id: Pain Assess Method t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Riker-SAS Scale t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Low Cont Suction v2: Coffee Ground st: NotStopd id: HOB t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Cavity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Supervised st: NotStopd id: Precautions t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Hyperactive st: NotStopd id: Braden Activity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 50 vu: ml id: D5NS 1000.0ml t0: [08:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 160 vu: ml id: Urine Out Foley t0: [08:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 120 vu: ml
pi: 4100043 hi: 10689 t0: [10:00:00 10/12/2014] tf: [09:00:00 17/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xu: Enter on Label pi: 4100044 hi: 10689 t0: [10:00:00 10/12/2014] tf: [21:00:00 10/12/2014] mn: Phytonadione pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: Service Type t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 10/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: .9% Normal Saline t0: [09:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [09:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: GT Flush t0: [08:00:00 10/12/2014] el: 1 ai: 338 cg: RN cu: T-SICU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: .9% Normal Saline t0: [10:00:00 10/12/2014] el: 1 ai: 107 cg: -1 cu: T-SICU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 110 n1: 110 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 250 vu: ml id: D5NS 1000.0ml t0: [10:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [11:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [11:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 20 vu: ml
id: IV #2 Reason DC'D t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Infiltrated st: NotStopd id: IV #2 D/C Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Infiltrated st: NotStopd
id: WBC (4-11,000) t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: WBC t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: Hematocrit t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 25.1 n1: 25.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 243 n1: 243 rs: Final st: NotStopd id: RBC t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd
id: IV #3 Insert Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd
id: IV #2 Insert Date t0: [11:01:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #2 Site/Size t0: [11:01:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: IV #2 Reason DC'D t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: GI#1 Tube PlaceCheck t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #2 D/C Date t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV Site Appear #2 t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: GT Flush t0: [12:00:00 10/12/2014] el: 1 ai: 338 cg: -1 cu: T-SICU vo: 0 st: D/C'd id: Gastric Nasogastric t0: [12:00:00 10/12/2014] el: 1 cg: -1 cu: T-SICU vo: 0 st: D/C'd
id: Pain Present t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Present t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Opening t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Heart Rate t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Level of Conscious t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: Pain Management t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: PO Med st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Precautions t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [12:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Health Care Proxy t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: HOB t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Good st: NotStopd id: Inc Cleansing #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Copious st: NotStopd id: Inc Dsg/Status #2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: NBP t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 87 n1: 87 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 75 n1: 75 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 86 n1: 86 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 52.3333 n1: 52.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 56 n1: 56 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [12:10:00 10/12/2014] el: 1 cg: RN cu: T-SICU st: NotStopd id: Position t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Scant st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: RLL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: SpO2 t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:20:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 750 vu: ml
pi: 4100787 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4100788 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4100789 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 750 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 83 n1: 83 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: HOB t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd
id: Pain Present t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [13:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: D5NS 1000.0ml t0: [14:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [14:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [15:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [15:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Blood Products t0: [15:52:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: Y rs: Final st: NotStopd
id: Hematocrit t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 24.1 n1: 24.1 u1: % rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: Eye Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Erythema st: NotStopd id: Inc Closure/Appear#2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Copious st: NotStopd id: Inc Drainage/Amt #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Incision/Wound #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: Incision/Wound #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 104 n1: 104 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Scant st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [16:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: PT t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: INR t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 30 n1: 30 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: PTT(22-35) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 30 n1: 30 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: NBP t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 109 n1: 109 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [16:45:00 10/12/2014] el: 1 ai: 117 cg: RN cu: T-SICU vo: 375 vu: ml uu: Units id: Urine Out Foley t0: [17:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: Incision/Wound #1 t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd
id: Service Type t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Hematocrit t0: [18:19:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
pi: 4102135 hi: 10689 t0: [20:00:00 10/12/2014] tf: [09:00:00 25/12/2014] mn: Fluconazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 20 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 10/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [20:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 380 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 380 ac: 24 ap: none re: 0
pi: 4102581 hi: 10689 t0: [10:00:00 10/12/2014] tf: [09:00:00 11/12/2014] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: DAILY ds: 10 dn: 1 dt: 1 di: Days xv: 36 xu: Hours
id: Service Type t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: HOB t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Through Dermis v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: PressSoreWoundBase#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Skin Integrity t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temperature C (calc) t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [21:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Temperature F t0: [21:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [21:05:00 10/12/2014] el: 1 ai: 117 cg: RN cu: T-SICU vu: ml uh: 1 uu: Units id: Urine Out Foley t0: [21:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Blood Products Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 375 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [21:00:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 2250 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 2250 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 3005 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 3005 ac: 24 ap: none re: 0
id: Code Status t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Code Status t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 35 vu: ml
id: Total Hourly Output t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 905 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 905 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: 2050 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: 2050 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: 650 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: 650 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: -35 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: -35 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 955 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 955 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Alarms t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: calprevflg t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI Prophylaxis t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Eye Opening t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Stool Guaiac t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow st: NotStopd id: Urine Source t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Ectopy Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: NBP t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: Pain Present t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Daily Wake Up t0: [00:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Po Intake t0: [00:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [00:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Education Topic #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Inc Closure/Appear#3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: Restraint Location t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Behavior t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd
id: Service Type t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Service Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Pain Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd
id: HOB t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd
id: Po Intake t0: [02:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 200 vu: ml id: Urine Out Foley t0: [02:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1400 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1150 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1042 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 358 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1008 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1042 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: WBC t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: Hematocrit t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 224 n1: 224 rs: Final st: NotStopd id: RBC t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.26 n1: 3.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29.6 n1: 29.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: PTT(22-35) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29.6 n1: 29.6 rs: Final st: NotStopd
id: BUN t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Pain Present t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Eye Opening t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Education Topic #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Inc Cleansing #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: Pressure Sore Odor#1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: Restraint Location t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Behavior t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd
id: HOB t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd
id: Service Type t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: Micro-Neb Treatment t0: [06:00:00 11/12/2014] el: 0 cg: RRT cu: T-SICU v1: atro st: NotStopd
id: Service Type t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [06:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: HOB t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Drainage/Amt #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Changed st: NotStopd id: Incision/Wound #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Oral Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd
id: Pain Present t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Restraint Location t0: [09:00:00 11/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: Pain Level t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Present t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Alarms t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Location t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd id: Precautions t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 8.1 n2: 8.1 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [09:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 140 vu: ml
id: Service Type t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Position t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 180 vu: ml id: D5W 100.0ml t0: [10:00:00 11/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 250 vu: ml id: Urine Out Foley t0: [10:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 42 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 250 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 250 ac: 24 ap: none re: 0
id: Service Type t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Through Dermis st: NotStopd id: PressSore Depth #1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Wound Cleanser st: NotStopd id: Pressure Sore Odor#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml
id: PressSoreTreatment#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd
id: Pain Level t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ICU Environment st: NotStopd id: Eye Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Micro-Neb Treatment t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ipratro st: NotStopd id: Motor Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 122 n1: 122 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Cause t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Constant st: NotStopd id: Position t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Pain Level t0: [12:45:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Level (Rest) t0: [12:45:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Management t0: [12:45:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: IV Push st: NotStopd
pi: 4104498 hi: 10689 t0: [10:00:00 11/12/2014] tf: [12:00:00 14/12/2014] mn: Allopurinol pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4104499 hi: 10689 t0: [10:00:00 11/12/2014] tf: [19:00:00 17/12/2014] mn: Colchicine pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Assess Method t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Pain Level (Rest) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Precautions t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 35 vu: ml
id: Hematocrit t0: [14:41:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29 n1: 29 u1: % rs: Final st: NotStopd
id: Service Type t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Alarms t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: NBP t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Position t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 85 vu: ml
id: Pain Level t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Pain Level (Rest) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Management t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Pain Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd id: Precautions t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [16:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 180 vu: ml id: Urine Out Foley t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 70 vu: ml
id: Service Type t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 131 n1: 131 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 70 vu: ml
id: Service Type t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 131 n1: 131 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: PressSoreWoundBase#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Po Intake t0: [18:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 80 vu: ml
id: O2 Delivery Device t0: [18:00:00 11/12/2014] el: 0 cg: RT cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 11/12/2014] el: 0 cg: RT cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Pain Level t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd id: Risk for Falls t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Insert Date t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Leg st: NotStopd id: Pain Management t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: IV Push v2: PO Med st: NotStopd id: Pain Type t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Throbbing st: NotStopd id: Position t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [20:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Po Intake t0: [21:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: 24h Total In t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1400 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: none re: 0
id: Code Status t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1042 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 358 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1008 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1042 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [00:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Total Hourly Output t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 890 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 890 ac: 24 ap: none re: 0
id: Riker-SAS Scale t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Education Topic #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #4 Insert Date t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Bowel Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [01:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2630 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2380 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 1740 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2748 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0
id: WBC (4-11,000) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd id: WBC t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd id: Hematocrit t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 173 n1: 173 rs: Final st: NotStopd id: RBC t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd
id: BUN t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 141 n1: 141 rs: Final st: NotStopd id: Total Bili t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: ALT t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 36 n1: 36 rs: Final st: NotStopd id: Amylase t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Po Intake t0: [03:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [02:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 100 vu: ml
id: Pain Level t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Present t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Daily Wake Up t0: [00:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Education Topic #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #4 Insert Date t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Management t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: PO Med st: NotStopd id: Pain Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dull st: NotStopd id: Position t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Side Rails t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Support Systems t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Bowel Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [05:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml
id: Code Status t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 93 n1: 93 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [06:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 100 vu: ml
id: D5W 100.0ml t0: [08:00:00 12/12/2014] el: 2 ai: 105 cg: -1 cu: T-SICU vo: 0 st: D/C'd id: D5NS 1000.0ml t0: [08:00:00 12/12/2014] el: 1 ai: 107 cg: -1 cu: T-SICU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Productive st: NotStopd id: Daily Wake Up t0: [08:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #4 Insert Date t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Assistance Device t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Back st: NotStopd id: Urine Source t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Braden Activity t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No Impairment st: NotStopd
id: Po Intake t0: [08:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 200 vu: ml id: Urine Out Foley t0: [08:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 100 vu: ml
id: IV #1 Reason DC'D t0: [09:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #1 D/C Date t0: [09:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #1 Insert Date t0: [09:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #1 Site/Size t0: [09:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV Site Appear #1 t0: [09:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: IV #3 Insert Date t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [09:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [09:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Large st: NotStopd
id: D5W 100.0ml t0: [09:00:00 12/12/2014] el: 1 ai: 105 cg: RN cu: T-SICU vo: 250 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: MICU cv: 250 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 250 ac: 24 ap: none re: 0
id: Temperature C (calc) t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: Service Type t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Chair st: NotStopd id: Activity Tolerance t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: Precautions t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Back st: NotStopd id: calprevflg t0: [10:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 70 vu: ml
id: Inc Cleansing #1 t0: [11:00:00 12/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: Pain Present t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Medications st: NotStopd id: Eye Care t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Lower st: NotStopd id: Incision/Wound #2 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Care t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Precautions t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Through Dermis v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Scant st: NotStopd id: PressSoreCleansing#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Black st: NotStopd id: Pressure Sore Odor#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [12:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Micro-Neb Treatment t0: [08:00:00 12/12/2014] el: 0 cg: RRT cu: T-SICU v1: atr st: NotStopd id: Micro-Neb Treatment t0: [14:00:00 12/12/2014] el: 0 cg: RRT cu: T-SICU v1: atr st: NotStopd
id: Pain Level t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Present t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Large st: NotStopd id: Inc Drainage/Amt #2 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Large st: NotStopd id: Inc Dsg/Status #2 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #2 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: NBP t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wound st: NotStopd id: Pain Level (Rest) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Location t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Type t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Sharp st: NotStopd id: Position t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Sediment st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Sediment st: NotStopd id: Back Care t0: [12:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [14:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml
id: Service Type t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Productive st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Glucose t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 135 n1: 135 rs: Manual st: NotStopd id: Diet Type t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Care t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Assistance Device t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Glucose (70-105) t0: [14:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Temperature C (calc) t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [16:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 90 vu: ml
id: Hematocrit t0: [16:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd
id: Pain Present t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Lower st: NotStopd id: Incision/Wound #2 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: NBP t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Care t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Indicated st: NotStopd id: Position t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSoreWoundBase#1 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Black st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Side Rails t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd
id: Po Intake t0: [18:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 440 vu: ml id: Urine Out Foley t0: [18:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Pain Present t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Productive st: NotStopd id: Daily Wake Up t0: [20:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Large st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #2 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 104 n1: 104 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable v2: Other/Remarks st: NotStopd id: Assistance Device t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 50 vu: ml
id: Service Type t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [20:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 2630 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 2380 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 890 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 1740 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 2748 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 890 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: MICU cv: 0 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 12/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
pi: 4109893 hi: 10689 t0: [23:00:00 12/12/2014] tf: [19:00:00 30/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 35723 t0: [03:06:00 10/12/2014] cu: T-SICU de: Regular ward dt: 4061
pi: 4110653 hi: 10689 t0: [09:00:00 13/12/2014] tf: [07:00:00 03/01/2015] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4115664 hi: 10689 t0: [11:00:00 15/12/2014] tf: [10:00:00 16/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4117517 hi: 10689 t0: [07:00:00 16/12/2014] tf: [06:00:00 17/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 45 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4118237 hi: 10689 t0: [12:00:00 16/12/2014] tf: [22:00:00 05/01/2015] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4118939 hi: 10689 t0: [15:00:00 16/12/2014] tf: [15:00:00 16/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 150 ml/hr for 1000 ml ir: 150 it: C ss: N dt: 6 di: Hours xu: Enter on Label
pi: 4119170 hi: 10689 t0: [16:00:00 16/12/2014] tf: [15:00:00 17/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4119916 hi: 10689 t0: [19:00:00 16/12/2014] tf: [18:00:00 17/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4121430 hi: 10689 t0: [09:00:00 17/12/2014] tf: [20:00:00 30/12/2014] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 10 ml/hr ir: 10 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4121584 hi: 10689 t0: [10:00:00 17/12/2014] tf: [18:00:00 17/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4123461 hi: 10689 t0: [20:00:00 17/12/2014] tf: [19:00:00 18/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4123865 hi: 10689 t0: [23:00:00 17/12/2014] tf: [22:00:00 18/12/2014] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4124461 hi: 10689 t0: [05:00:00 18/12/2014] tf: [04:00:00 19/12/2014] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4125110 hi: 10689 t0: [10:00:00 18/12/2014] tf: [22:00:00 05/01/2015] mn: Becaplermin Gel 0.01% pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4125111 hi: 10689 t0: [11:00:00 18/12/2014] tf: [10:00:00 19/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4126682 hi: 10689 t0: [10:00:00 19/12/2014] tf: [08:00:00 26/12/2014] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued rt: SC fr: QMOWEFR ds: 10 di: Ongoing xu: Enter on Label
pi: 4130281 hi: 10689 t0: [08:00:00 19/12/2014] tf: [10:00:00 21/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4132138 hi: 10689 t0: [10:00:00 20/12/2014] tf: [09:00:00 20/12/2014] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4134531 hi: 10689 t0: [08:00:00 21/12/2014] tf: [19:00:00 21/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4134587 hi: 10689 t0: [12:00:00 21/12/2014] tf: [11:00:00 22/12/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4135566 hi: 10689 t0: [08:00:00 23/12/2014] tf: [22:00:00 05/01/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours
pi: 4137577 hi: 10689 t0: [15:00:00 22/12/2014] tf: [16:00:00 22/12/2014] mn: Allopurinol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours
pi: 4138078 hi: 10689 t0: [10:00:00 22/12/2014] tf: [22:00:00 05/01/2015] mn: Allopurinol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4140843 hi: 10689 t0: [12:00:00 23/12/2014] tf: [09:00:00 24/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4141674 hi: 10689 t0: [17:00:00 23/12/2014] tf: [16:00:00 24/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4143821 hi: 10689 t0: [12:00:00 24/12/2014] tf: [13:00:00 29/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 26/12/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
pi: 4150871 hi: 10689 t0: [05:00:00 26/12/2014] tf: [22:00:00 26/12/2014] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4151092 hi: 10689 t0: [10:00:00 26/12/2014] tf: [08:00:00 29/12/2014] mn: Metoprolol XL pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4151093 hi: 10689 t0: [10:00:00 26/12/2014] tf: [10:00:00 31/12/2014] mn: Epoetin Alfa pt: IV Piggyback st: Inactive (Due to a change order) rt: SC fr: QMOWEFR ds: 10 di: Ongoing xv: 36 xu: Hours
pi: 4151507 hi: 10689 t0: [11:00:00 26/12/2014] tf: [22:00:00 26/12/2014] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4151508 hi: 10689 t0: [11:00:00 26/12/2014] tf: [17:00:00 26/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV fr: INFUSION dt: 6 di: Hours xu: Enter on Label pi: 4151509 hi: 10689 t0: [19:00:00 26/12/2014] tf: [08:00:00 27/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CCU am: 600 du: mgmin rt: IV Drip
id: Service Type t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Riker-SAS Scale t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:30:00 26/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Dorsal PedPulse R/L t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: NBP t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler st: NotStopd id: Precautions t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Respiratory Rate t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Amiodarone t0: [11:30:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1InsertDate t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#1 Cap Change t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd
pi: 4151820 hi: 10689 t0: [13:00:00 26/12/2014] tf: [19:00:00 30/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: BSA t0: [12:19:00 26/12/2014] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [12:19:00 26/12/2014] el: 1032 cg: -1 cu: CCU id: Allergy 1 t0: [12:19:00 26/12/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [12:19:00 26/12/2014] el: 1023 cg: -1 cu: CCU v1: AICD FIRING id: Service t0: [12:19:00 26/12/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [12:19:00 26/12/2014] el: 1034 cg: -1 cu: CCU id: Readmission t0: [12:19:00 26/12/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [12:19:00 26/12/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [12:19:00 26/12/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [12:19:00 26/12/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [12:19:00 26/12/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [12:19:00 26/12/2014] el: 1022 cg: -1 cu: CCU
id: Code Status t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Type t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [12:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: HOB t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: HR Alarm (Lo/Hi) t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 26/12/2014] 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: [11:30:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: IV #3 Site/Size t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #3 t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [12:30:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Ectopy Type t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Amiodarone t0: [13:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Site/Size t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #3 t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: RLL Lung Sounds t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Turn t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Amiodarone t0: [14:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [15:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 151 n1: 151 rs: Final st: NotStopd id: Magnesium t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 151 n1: 151 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:00:00 26/12/2014] 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: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:00:00 26/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
id: Pain Present t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [15:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/12/2014] 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 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Daily Weight t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Amiodarone t0: [16:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [16:00:00 26/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 240 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [17:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Heart Rate t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: NBP t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Temperature C (calc) t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [17:15:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Ectopy Frequency t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Heart Rate t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Level of Conscious t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Previous WeightF t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 26/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 360 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [18:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Previous WeightF t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Washed PRBC's t0: [17:00:00 26/12/2014] el: 1 ai: 126 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: Washed PRBC's t0: [18:00:00 26/12/2014] el: 1 ai: 126 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: Washed PRBC's t0: [19:00:00 26/12/2014] el: 1 ai: 126 cg: RN cu: CCU vo: 95 vu: ml uu: Units
id: Amiodarone t0: [19:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: HOB t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Turn t0: [17:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [19:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: HOB Measurement t0: [20:00:00 26/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4153654 hi: 10689 t0: [21:00:00 26/12/2014] tf: [20:00:00 27/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Level t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [20:00:00 26/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Site/Size t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Cleansing #2 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Cleansing #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Healed v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Serous v2: Scant st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc/Wound Packing #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #2 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Cause t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Type t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Position t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Unable to Stage v2: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Care t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 26/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Washed PRBC's t0: [20:00:00 26/12/2014] el: 1 ai: 126 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: Urine Out Foley t0: [19:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Amiodarone t0: [20:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU cv: 720 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU cv: 380 ac: 24 ap: none re: 0
id: Pain Level/Response t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Assess Method t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Activity t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 58.3333 n1: 58.3333 u1: mmHg st: NotStopd id: Position t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [21:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [21:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Level of Conscious t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: NBP t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [22:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [22:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4153820 hi: 10689 t0: [23:00:00 26/12/2014] tf: [22:00:00 27/12/2014] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: D5W 100.0ml t0: [22:00:00 26/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Service Type t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/12/2014] 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 26/12/2014] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: INV#1 Cap Change t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: calprevflg t0: [23:00:00 26/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 26/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [23:00:00 26/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 835 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 1935 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: -7.5 cv: 1425 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: -7.5 cv: 1425 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: -7.5 cv: -7.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 510 ac: 24 ap: none re: 0
pi: 4154122 hi: 10689 t0: [02:00:00 27/12/2014] tf: [01:00:00 28/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 120 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Present t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough Type t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Daily Wake Up t0: [00:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Site/Size t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Location t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/12/2014] 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 27/12/2014] 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: [01:30:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Temperature F t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [00:00:00 27/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:30:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [00:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [01:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [01:30:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Level of Conscious t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature F t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: Po Intake t0: [02:00:00 27/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Amiodarone t0: [02:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU cv: 360 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Activity t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Position t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [03:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [03:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 1110 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 1745 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: 40 cv: 815 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: -17.5 cv: 930 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: -17.5 cv: 2355 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: -17.5 cv: -17.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU pv: 40 cv: 815 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nonprod/Congest st: NotStopd id: Daily Wake Up t0: [04:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Site/Size t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Location t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [04:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [05:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [05:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Level of Conscious t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Amiodarone t0: [06:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: WBC t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 124 n1: 124 rs: Final st: NotStopd id: RBC t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 rs: Final st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [07:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: BUN t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Uric Acid t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Uric Acid (2.7-7.0) t0: [06:00:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [07:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4154575 hi: 10689 t0: [09:00:00 27/12/2014] tf: [00:00:00 28/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Blood Products t0: [09:01:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
pi: 4154662 hi: 10689 t0: [10:00:00 27/12/2014] tf: [12:00:00 27/12/2014] mn: Fondaparinux Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/12/2014] 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: [09:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 27/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [07:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [09:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Amiodarone t0: [08:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [09:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: Education Barrier t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #3 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Incision/Wound #1 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Assistance Device t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Side Rails t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Behavior t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Labile st: NotStopd id: Braden Activity t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Procedures t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sputum Cx st: NotStopd
id: Service Type t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: GI Prophylaxis t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Abdominal Assessment t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: Orientation t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [10:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 27/12/2014] el: 0 cg: CoWker cu: CCU v1: 131 n1: 131 rs: Manual st: NotStopd
pi: 4155169 hi: 10689 t0: [13:00:00 27/12/2014] tf: [12:00:00 28/12/2014] mn: Fondaparinux Sodium pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: IV #3 Reason DC'D t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Cleansing #2 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Healed v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc/Wound Packing #2 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Level of Conscious t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/12/2014] 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 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/12/2014] 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 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Labile st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [12:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Amiodarone t0: [11:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [12:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 27/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [13:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [11:00:00 27/12/2014] el: 2 ai: -1 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: Packed RBC's t0: [14:00:00 27/12/2014] el: 2 ai: -1 cg: RN cu: CCU vo: 275 vu: ml uu: Units id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [14:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Amiodarone t0: [14:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 27/12/2014] el: 2 cg: RN cu: CCU cv: 275 ac: 24 ap: none re: 0
id: IV #3 Site/Size t0: [15:00:00 27/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Packed RBC's t0: [15:00:00 27/12/2014] el: 1 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [08:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [09:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Oral Cavity t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Guaiac t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Urine Color/Appear t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Labile st: NotStopd id: Bowel Sounds t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [15:00:00 27/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [15:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Amiodarone t0: [15:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Respiratory Rate t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd
id: HOB t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU st: NotStopd id: Assistance Device t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Pain Level t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Level/Response t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Cause t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Management t0: [16:00:00 27/12/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Throbbing st: NotStopd id: Precautions t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [16:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/12/2014] 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 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [17:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [18:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [16:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: WBC (4-11,000) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 rs: Final st: NotStopd id: WBC t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 rs: Final st: NotStopd id: Hematocrit t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: RBC t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 rs: Final st: NotStopd
id: BUN t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Chloride t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Glucose t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Carbon Dioxide t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:06:00 27/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: Pain Level t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Care t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Pain Management t0: [20:30:00 27/12/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Previous Weight t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/12/2014] 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: [20:30:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Temperature F t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 27/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [20:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Amiodarone t0: [20:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [20:30:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4156532 hi: 10689 t0: [01:00:00 28/12/2014] tf: [09:00:00 28/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Pain Present t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: V Paced st: NotStopd id: Heart Rhythm t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Vent. Tachy st: NotStopd id: Heart Rhythm t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Ventricular Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Previous Weight t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous Weight t0: [00:35:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous Weight t0: [00:40:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous Weight t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous Weight t0: [23:55:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/12/2014] 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: [00:30:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] 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 27/12/2014] 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 27/12/2014] 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 27/12/2014] 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: [23:40:00 27/12/2014] 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: [23:45:00 27/12/2014] 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: [23:50:00 27/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/12/2014] 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 27/12/2014] 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 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:50:00 27/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:40:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:50:00 27/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [00:00:00 28/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 14.5833 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 27/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [21:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Amiodarone t0: [00:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [00:30:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [01:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [02:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [22:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:00:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:40:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:45:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:50:00 27/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 710.833 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 1700.83 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU cv: 990 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 1120 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 580.833 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 2935.83 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/12/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 1120 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [03:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [04:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [05:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc/Wound Packing #2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Right st: NotStopd id: Incision/Wound #3 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Cap Change t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Service Type t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [06:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [06:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: WBC t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Hematocrit t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 29.6 n1: 29.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: RBC t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.36 n1: 3.36 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd
id: PT t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: INR t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 39.1 n1: 39.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: PTT(22-35) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 39.1 n1: 39.1 rs: Final st: NotStopd
id: BUN t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Albumin t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Chloride t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Glucose t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Albumin (>3.2) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: BUN (6-20) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Carbon Dioxide t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:42:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
pi: 4157154 hi: 10689 t0: [10:00:00 28/12/2014] tf: [09:00:00 29/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4157155 hi: 10689 t0: [10:00:00 28/12/2014] tf: [09:00:00 29/12/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4157156 hi: 10689 t0: [10:00:00 28/12/2014] tf: [09:00:00 29/12/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4157200 hi: 10689 t0: [10:00:00 28/12/2014] tf: [17:00:00 28/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/12/2014] 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: [09:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Amiodarone t0: [08:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [09:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Learner t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Health Care Proxy t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Right st: NotStopd id: Incision/Wound #3 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Previous Weight t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [09:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [08:30:00 28/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 360 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:30:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:30:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 37.5 vu: ml id: Urine Out Foley t0: [09:30:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Amiodarone t0: [09:30:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 18.75 vu: ml id: Urine Out Foley t0: [11:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Amiodarone t0: [11:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 28/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [12:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [12:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/12/2014] 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: [14:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.3 n1: 74.3 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 28/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [13:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Amiodarone t0: [13:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [14:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4157963 hi: 10689 t0: [17:00:00 28/12/2014] tf: [11:00:00 29/12/2014] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [16:00:00 28/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Right st: NotStopd id: Incision/Wound #3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [15:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [16:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [15:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [16:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4158107 hi: 10689 t0: [18:00:00 28/12/2014] tf: [00:00:00 29/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV fr: INFUSION dt: 6 di: Hours xu: Enter on Label
id: Service Type t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Learner t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Health Care Proxy t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Cleansing #3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Inc Dsg/Status #3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry st: NotStopd id: Inc/Wound Packing #3 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: NBP t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Through Fascia v2: No st: NotStopd id: PressSore Depth #1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Hydrogel/Vigilon st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: PressureReduceDevice t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [10:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [13:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [17:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 28/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [18:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Amiodarone t0: [17:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [18:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4158279 hi: 10689 t0: [20:00:00 28/12/2014] tf: [11:00:00 29/12/2014] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BSA t0: [19:59:00 28/12/2014] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [19:59:00 28/12/2014] el: 1032 cg: -1 cu: CCU id: Allergy 1 t0: [19:59:00 28/12/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [19:59:00 28/12/2014] el: 1023 cg: -1 cu: CCU v1: AICD FIRING id: Service t0: [19:59:00 28/12/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [19:59:00 28/12/2014] el: 1034 cg: -1 cu: CCU id: Readmission t0: [19:59:00 28/12/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:59:00 28/12/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [19:59:00 28/12/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:59:00 28/12/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:59:00 28/12/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:59:00 28/12/2014] el: 1022 cg: -1 cu: CCU
id: IV #3 Reason DC'D t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Reason DC'D t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Insert Date t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Site/Size t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #4 t0: [21:00:00 28/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Vent. Tachy st: NotStopd id: Heart Rhythm t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Activity Tolerance t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Right Leg st: NotStopd id: Incision/Wound #2 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Right st: NotStopd id: Incision/Wound #3 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 28/12/2014] 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: [19:30:00 28/12/2014] 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 28/12/2014] 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: [20:30:00 28/12/2014] 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 28/12/2014] 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: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:15:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [19:15:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [19:30:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [20:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [20:30:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4158644 hi: 10689 t0: [23:00:00 28/12/2014] tf: [11:00:00 29/12/2014] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 23 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/12/2014] 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 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 28/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [21:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Amiodarone t0: [22:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Magnesium t0: [23:24:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [23:24:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:24:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:24:00 28/12/2014] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Cleansing #3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc/Wound Packing #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc/Wound Packing #3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Hydrogel/Vigilon st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/12/2014] 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 29/12/2014] 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 28/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 28/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 28/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 28/12/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Amiodarone t0: [00:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [01:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [02:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 12.5 cv: 917.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 72.5 cv: 1307.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 895 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 42.5 cv: 412.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 42.5 cv: 3348.33 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 42.5 cv: 42.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 30 cv: 895 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: WBC t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Hematocrit t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 32.3 n1: 32.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 173 n1: 173 rs: Final st: NotStopd id: RBC t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.72 n1: 3.72 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd
id: PT t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: INR t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 37.1 n1: 37.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: PTT(22-35) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 37.1 n1: 37.1 rs: Final st: NotStopd
id: BUN t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: ALT t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 252 n1: 252 rs: Final st: NotStopd id: BUN (6-20) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:47:00 29/12/2014] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/12/2014] 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 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Effort t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Shallow st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [06:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Amiodarone t0: [03:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [04:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [05:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [06:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [07:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 29/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [07:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [08:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [08:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Previous Weight t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Weight Change t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 29/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 180 vu: ml
id: Pain Present t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Care t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: Heart Rhythm t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Previous WeightF t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Rate t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [09:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV #1 Insert Date t0: [10:00:00 29/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [10:00:00 29/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4159718 hi: 10689 t0: [11:00:00 29/12/2014] tf: [10:00:00 30/12/2014] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR di: Ongoing xu: Enter on Label pi: 4159719 hi: 10689 t0: [11:00:00 29/12/2014] tf: [08:00:00 02/01/2015] mn: Ceftriaxone pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 11 dn: 1 di: Ongoing xv: 36 xu: Hours
id: NBP t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Ectopy Type t0: [10:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Previous WeightF t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [11:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4160291 hi: 10689 t0: [12:00:00 29/12/2014] tf: [10:00:00 31/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4160292 hi: 10689 t0: [12:00:00 29/12/2014] tf: [10:00:00 31/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Turn t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [12:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Amiodarone t0: [12:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Type t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Previous WeightF t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [13:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4160371 hi: 10689 t0: [10:00:00 29/12/2014] tf: [22:00:00 05/01/2015] mn: Papain-Urea Ointment pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Ectopy Type t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Previous WeightF t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [14:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Amiodarone t0: [14:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Type t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: AV Paced st: NotStopd id: NBP t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Previous WeightF t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 29/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [15:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Amiodarone t0: [15:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temperature C (calc) t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Po Intake t0: [15:00:00 29/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 30 vu: ml
id: Washed PRBC's t0: [17:00:00 29/12/2014] el: 1 ai: 126 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: HOB t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: IV #2 Insert Date t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Drainage/Amt #4 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #4 t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status#4 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: NBP t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Pressure Sore Site#1 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Previous Weight t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radial Pulse R/L t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v2: Strong/Palpable st: NotStopd id: Radial Pulse R/L t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v2: Strong/Palpable st: NotStopd id: Respiratory Rate t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Tubing Change t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Therapeutic Bed t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:45:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [17:45:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Amiodarone t0: [17:30:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [17:45:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Inc Drainage/Amt #4 t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #4 t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #4 t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Incision/Wound #4 t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radial Pulse R/L t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong/Palpable st: NotStopd id: Radial Pulse R/L t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong/Palpable st: NotStopd id: Respiratory Effort t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [18:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:15:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [17:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Amiodarone t0: [18:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Type t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: NBP t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Previous WeightF t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Respiratory Rate t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:30:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [18:30:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Turn t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [19:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [19:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [20:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: SpO2 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: Pain Present t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Po Intake t0: [19:00:00 29/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 30 vu: ml id: Po Intake t0: [20:00:00 29/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 90 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [19:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Cough Effort t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radial Pulse R/L t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v2: Strong/Palpable st: NotStopd id: Respiratory Effort t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Topic #1 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Inc Drainage/Amt #4 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status#4 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Side Rails t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Behavior t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Braden Activity t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: PressureReduceDevice t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: BSA t0: [21:39:00 29/12/2014] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [21:39:00 29/12/2014] el: 1032 cg: -1 cu: CCU id: Allergy 1 t0: [21:39:00 29/12/2014] el: 1020 cg: -1 cu: CCU v1: Heparin Agents id: Diagnosis/op t0: [21:39:00 29/12/2014] el: 1023 cg: -1 cu: CCU v1: AICD FIRING id: Service t0: [21:39:00 29/12/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [21:39:00 29/12/2014] el: 1034 cg: -1 cu: CCU id: Readmission t0: [21:39:00 29/12/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [21:39:00 29/12/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [21:39:00 29/12/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [21:39:00 29/12/2014] el: 1021 cg: -1 cu: CCU v1: Amiodarone id: Ext t0: [21:39:00 29/12/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [21:39:00 29/12/2014] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/12/2014] 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 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [21:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [22:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Service Type t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/12/2014] 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 29/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [23:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 29/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [21:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [23:00:00 29/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Oral Care t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Turn t0: [23:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [21:00:00 29/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Po Intake t0: [23:00:00 29/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/12/2014] el: 2 cg: RN cu: CCU pv: 60 cv: 390 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [01:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Cough Effort t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radial Pulse R/L t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v2: Strong/Palpable st: NotStopd id: Respiratory Effort t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Topic #1 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Inc Drainage/Amt #4 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status#4 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Side Rails t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Behavior t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Braden Activity t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: PressureReduceDevice t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd
id: INV Line#1 Type/Site t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd
id: Service Type t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [02:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [02:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [03:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 280 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 65 cv: 765 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [01:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Total Hourly Output t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 535 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 230 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 3578.33 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 535 ac: 24 ap: none re: 0
id: NBP t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: Service Type t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [04:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: O2 Delivery Device t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml
id: Cough Effort t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radial Pulse R/L t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v2: Strong/Palpable st: NotStopd id: Respiratory Effort t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Topic #1 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: HOB t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Inc Drainage/Amt #4 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status#4 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Side Rails t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Behavior t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Braden Activity t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Amiodarone t0: [05:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd
id: Turn t0: [04:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [06:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Inc Drainage/Amt #4 t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status#4 t0: [06:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd
id: WBC (4-11,000) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 33.7 n1: 33.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 177 n1: 177 rs: Final st: NotStopd id: RBC t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.87 n1: 3.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: BUN t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Glucose t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: ALT t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 181 n1: 181 rs: Final st: NotStopd id: BUN (6-20) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: PT t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: INR t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 35.3 n1: 35.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: PTT(22-35) t0: [05:28:00 30/12/2014] el: 0 cg: 1663 cu: CCU v1: 35.3 n1: 35.3 rs: Final st: NotStopd
pi: 4162936 hi: 10689 t0: [08:00:00 30/12/2014] tf: [22:00:00 05/01/2015] mn: Ascorbic Acid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4162937 hi: 10689 t0: [10:00:00 30/12/2014] tf: [22:00:00 05/01/2015] mn: Zinc Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 30/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Temp. Site t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 30/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [07:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [08:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Amiodarone t0: [08:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4163421 hi: 10689 t0: [16:00:00 30/12/2014] tf: [22:00:00 05/01/2015] mn: Mexiletine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4163422 hi: 10689 t0: [20:00:00 30/12/2014] tf: [10:00:00 31/12/2014] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4163423 hi: 10689 t0: [10:00:00 30/12/2014] tf: [22:00:00 05/01/2015] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4163424 hi: 10689 t0: [10:00:00 30/12/2014] tf: [22:00:00 05/01/2015] mn: Fondaparinux Sodium pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Suture/Staples st: NotStopd id: Inc Closure/Appear#2 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Suture/Staples st: NotStopd id: Inc Closure/Appear#3 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Closure/Appear#4 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #2 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Drainage/Amt #3 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #4 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #2 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Inc Dsg/Status #3 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status#4 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc/Wound Packing #2 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: NBP t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Moderate st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Therapeutic Bed t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Braden Activity t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [10:00:00 30/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 150 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 30/12/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [10:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [09:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [11:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Temp. Site t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [12:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 30/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [14:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: Position t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Therapeutic Bed t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [15:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: Activity Tolerance t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Pressure Sore Site#1 t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Temp. Site t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Verbal Response t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Pain Present t0: [12:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 30/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 30/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd id: Procedures t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd id: Radiologic Study t0: [17:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4165689 hi: 10689 t0: [21:00:00 30/12/2014] tf: [22:00:00 05/01/2015] pt: IV Large Volume st: Discontinued via patient discharge rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 10 ml/hr ir: 10 it: C ss: N di: Ongoing xu: Enter on Label
id: IV #1 Reason DC'D t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Reason DC'D t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Radial Pulse R/L t0: [21:00:00 30/12/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [20:00:00 30/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #2 Reason DC'D t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Phlebitis st: NotStopd id: Risk for Falls t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Antecub st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: Activity Tolerance t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Cleansing #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc/Wound Packing #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: RLL Lung Sounds t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Po Intake t0: [21:00:00 30/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Void t0: [15:00:00 30/12/2014] el: 1 cg: RN cu: CCU vu: ml
id: Service Type t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 30/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml
id: Urine Color/Appear t0: [22:40:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [22:40:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd
id: Urine Out Void t0: [22:40:00 30/12/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [20:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 30/12/2014] 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 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/12/2014] 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 30/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [23:00:00 30/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [23:00:00 30/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 30/12/2014] el: 2 cg: RN cu: CCU pv: 45 cv: 485 ac: 24 ap: none re: 0
io: D5/.45NS el: 1 cg: RN cu: CCU ra: 75 ru: ml/hr
pi: 4166223 hi: 10689 t0: [00:00:00 31/12/2014] tf: [06:00:00 31/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr for 500 ml ir: 75 it: C ss: N dt: 6 di: Hours xu: Enter on Label
id: D5/.45NS t0: [23:30:00 30/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Pain Assess Method t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [00:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Level of Conscious t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Effort t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Verbal Response t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Po Intake t0: [00:00:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: D5/.45NS t0: [00:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 37.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Pain Level t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: LLL Lung Sounds t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Pain Cause t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Type t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: RLL Lung Sounds t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Temp. Site t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd
id: Po Intake t0: [00:30:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [01:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS t0: [02:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 75 vu: ml id: D5/.45NS t0: [03:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Pain Present t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Level of Conscious t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [00:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Location t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Braden Activity t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5/.45NS t0: [04:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: NBP t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd
id: Service Type t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonprod/Congest st: NotStopd id: GI Prophylaxis t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 58.6667 n1: 58.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Precautions t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.9 n1: 74.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Temp. Site t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Source t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [05:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5/.45NS t0: [05:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Urine Out Void t0: [05:00:00 31/12/2014] el: 1 cg: RN cu: CCU vu: ml
id: WBC (4-11,000) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: WBC t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 30.8 n1: 30.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 191 n1: 191 rs: Final st: NotStopd id: RBC t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.48 n1: 3.48 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd
id: BUN t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Glucose t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Magnesium t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Phosphorous t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: ALT t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 245 n1: 245 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
pi: 4166734 hi: 10689 t0: [08:00:00 31/12/2014] tf: [07:00:00 01/01/2015] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4166735 hi: 10689 t0: [08:00:00 31/12/2014] tf: [07:00:00 01/01/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 45 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4166767 hi: 10689 t0: [08:00:00 31/12/2014] tf: [22:00:00 05/01/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: PT t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 37.1 n1: 37.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [06:00:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: 37.1 n1: 37.1 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [08:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pain Scale st: NotStopd id: Education Topic #2 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 56.6667 n1: 56.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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: [09:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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: [09:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 31/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [09:00:00 31/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [09:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5/.45NS t0: [07:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 150 vu: ml id: D5/.45NS t0: [08:00:00 31/12/2014] el: 1 ai: 110 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Void t0: [08:00:00 31/12/2014] el: 1 cg: RN cu: CCU vu: ml
pi: 4167219 hi: 10689 t0: [10:00:00 31/12/2014] tf: [22:00:00 05/01/2015] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued via patient discharge rt: SC fr: QMOWEFR ds: 10 di: Ongoing xu: Enter on Label pi: 4167220 hi: 10689 t0: [11:00:00 31/12/2014] tf: [22:00:00 05/01/2015] mn: Nystatin Oral Suspension pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 31/12/2014] el: 0 cg: CoWker cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd
id: Tylenol t0: [10:55:00 31/12/2014] el: 0 cg: 1663 cu: CCU v1: NEG rs: Final st: NotStopd
id: D5/.45NS t0: [12:00:00 31/12/2014] el: 1 ai: 110 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Risk for Falls t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pain Scale st: NotStopd id: Eye Opening t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Orange v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [10:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [11:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [12:00:00 31/12/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 100.0ml t0: [12:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 470 vu: ml
id: Pain Present t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [12:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Care t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Cleansing #2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Granulating st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Closure/Appear#4 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #4 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status#4 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: NBP t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Through Dermis v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSoreCleansing#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: PressSoreWoundBase#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: Pressure Sore Odor#1 t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: PressureReduceDevice t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 160 vu: ml id: D5W 100.0ml t0: [13:00:00 31/12/2014] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
pi: 4168231 hi: 10689 t0: [16:00:00 31/12/2014] tf: [15:00:00 01/01/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 31/12/2014] el: 1 cg: RN cu: CCU vu: ml
id: Procedures t0: [09:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Procedures t0: [10:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Urine Culture st: NotStopd
id: Service Type t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pain Scale st: NotStopd id: Heart Rate t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Incision/Wound #1 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: NBP t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [16:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: calprevflg t0: [17:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [17:00:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 380 vu: ml
id: Service Type t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 185 vu: ml
id: HOB t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [19:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Service Type t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: CVP t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonprod/Congest st: NotStopd id: Daily Wake Up t0: [20:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Inc Cleansing #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status#4 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc/Wound Packing #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Left Leg st: NotStopd id: Pain Type t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Guaiac t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 31/12/2014] 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 31/12/2014] 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 31/12/2014] 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 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Nonprod/Congest st: NotStopd id: Daily Wake Up t0: [23:00:00 31/12/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Care t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Stool Guaiac t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Temp. Site t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [23:00:00 31/12/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [23:00:00 31/12/2014] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 31/12/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [23:00:00 31/12/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: IV Infusion In Total t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 2102.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 80 cv: 2882.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 60 cv: 780 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 200 cv: 2155 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: -120 cv: 727.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: -120 cv: 4305.83 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: -120 cv: -120 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/12/2014] el: 2 cg: RN cu: CCU pv: 200 cv: 2155 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Urine Out Foley t0: [00:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Service Type t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50.6667 n1: 50.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Weak st: NotStopd id: Cough Type t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Nonprod/Congest st: NotStopd id: Daily Wake Up t0: [03:00:00 01/01/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Cause t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Type t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Temp. Site t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [03:00:00 01/01/2015] el: 2 ai: 114 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [03:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 710 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 1790 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 1080 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 1460 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 330 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 4635.83 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/01/2015] el: 2 cg: RN cu: CCU cv: 1460 ac: 24 ap: none re: 0
id: Pain Assess Method t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: NBP t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Cap Change t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: calprevflg t0: [04:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [05:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 70 vu: ml
pi: 4170378 hi: 10689 t0: [08:00:00 01/01/2015] tf: [22:00:00 05/01/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [08:00:00 01/01/2015] el: 2 ai: 114 cg: RN cu: CCU vo: 260 vu: ml id: D5W 100.0ml t0: [07:00:00 01/01/2015] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 01/01/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 01/01/2015] el: 3 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Service Type t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Family Communication t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: SocServ Involved st: NotStopd id: Heart Rate t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Suture/Staples v2: Erythema st: NotStopd id: Inc Closure/Appear#2 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Closure/Appear#4 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: Inc Drainage/Amt #4 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status#4 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Reinforced st: NotStopd id: NBP t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Through Dermis v2: Yes st: NotStopd id: PressSore Depth #1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: PressSoreCleansing#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: Pressure Sore Odor#1 t0: [08:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [11:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:00:00 01/01/2015] el: 3 ai: 304 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Service Type t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: SocServ Involved st: NotStopd id: GCS Total t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 01/01/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Risk for Falls t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [14:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Support Systems t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [17:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Eye Care t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Cap Change t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Level of Conscious t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Pain Present t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 01/01/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Inc Cleansing #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc/Wound Packing #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Incision/Wound #1 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/01/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml st: Stopped
id: Service Type t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Education Topic #2 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v2: Intact st: NotStopd id: LLL Lung Sounds t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Oral Cavity t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/01/2015] 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 01/01/2015] 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 01/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV#1 Cap Change t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [21:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/01/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: WBC t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: Hematocrit t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 26.9 n1: 26.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 284 n1: 284 rs: Final st: NotStopd id: RBC t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 3.04 n1: 3.04 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 14.2 n1: 14.2 rs: Final st: NotStopd
id: PT t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: INR t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 39.3 n1: 39.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 39.3 n1: 39.3 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Daily Wake Up t0: [04:00:00 02/01/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: BUN t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Albumin t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Calcium t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: ALT t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 161 n1: 161 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: BUN (6-20) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:24:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Hematocrit t0: [06:27:00 02/01/2015] el: 0 cg: 1663 cu: CCU v1: 34.3 n1: 34.3 u1: % rs: Final st: NotStopd
pi: 4174288 hi: 10689 t0: [10:00:00 02/01/2015] tf: [22:00:00 05/01/2015] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Leg, L Lower st: NotStopd id: Incision/Wound #2 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Arm, R Lower st: NotStopd id: Incision/Wound #4 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/01/2015] 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: [09:00:00 02/01/2015] 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 02/01/2015] 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: [09:00:00 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Temp. Site t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 35.4444 n1: 35.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 95.8 n1: 95.8 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: IV Infusion In Total t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0
id: Pain Present t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Daily Wake Up t0: [08:00:00 02/01/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 02/01/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Dentures st: NotStopd id: Orientation t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [15:30:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Orientation t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressureReduceDevice t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 110 n2: 110 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] 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 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [14:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 02/01/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: 24h Total In t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 650 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 600 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 1265 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: -615 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 4020.83 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/01/2015] el: 2 cg: RN cu: CCU cv: 1265 ac: 24 ap: none re: 0
ci: 36092 t0: [10:40:00 26/12/2014] cu: CCU de: Regular ward dt: 10441
pi: 4177452 hi: 10689 t0: [08:00:00 03/01/2015] tf: [07:00:00 04/01/2015] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4177467 hi: 10689 t0: [08:00:00 03/01/2015] tf: [22:00:00 05/01/2015] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4180552 hi: 10689 t0: [20:00:00 04/01/2015] tf: [22:00:00 05/01/2015] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4181140 hi: 10689 t0: [17:00:00 04/01/2015] tf: [16:00:00 05/01/2015] mn: OxycodONE (Immediate Release) pt: Unit Dose st: Expired rt: PO fr: ONCE MR1 ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4181620 hi: 10689 t0: [22:00:00 04/01/2015] tf: [22:00:00 05/01/2015] mn: OxycodONE (Immediate Release) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 10/02/2015] el: 0 cg: LCP cu: LCP at MIT n1: 11
id: Pain Level t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Present t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:30:00 10/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV#1 WaveformAppear t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Left Lower Quad st: NotStopd id: Pain Type t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Assistance Device t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia st: NotStopd id: PressSore Drng/Amt#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: PressSoreWoundBase#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Pressure Sore Odor#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Integrity t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [21:30:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd
id: Urine Out Foley t0: [21:30:00 10/02/2015] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
pi: 4300437 hi: 24049 t0: [08:00:00 10/02/2015] tf: [21:00:00 12/02/2015] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 72 di: Hours xv: 36 xu: Hours pi: 4300438 hi: 24049 t0: [23:00:00 10/02/2015] tf: [11:00:00 16/02/2015] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 23 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4300439 hi: 24049 t0: [10:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Ferrous Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4300440 hi: 24049 t0: [23:00:00 10/02/2015] tf: [11:00:00 16/02/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4300441 hi: 24049 t0: [23:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Fentanyl Patch pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: Q72H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4300442 hi: 24049 t0: [23:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4300443 hi: 24049 t0: [23:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4300444 hi: 24049 t0: [10:00:00 11/02/2015] tf: [21:00:00 17/02/2015] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued via patient discharge rt: SC fr: QMOWEFR ds: 10 di: Ongoing xv: 36 xu: Hours pi: 4300445 hi: 24049 t0: [23:00:00 10/02/2015] tf: [01:00:00 11/02/2015] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 23, 5, 11, 17 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4300446 hi: 24049 t0: [23:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4300447 hi: 24049 t0: [20:00:00 10/02/2015] tf: [21:00:00 17/02/2015] 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: 4300448 hi: 24049 t0: [23:00:00 10/02/2015] tf: [21:00:00 17/02/2015] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4300449 hi: 24049 t0: [23:00:00 10/02/2015] tf: [10:00:00 17/02/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 40 cv: 540 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 540 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 40 cv: 540 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 540 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: WBC t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Hematocrit t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 23.6 n1: 23.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.67 n1: 2.67 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd
id: Inc Cleansing #3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Cleansing #4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Closure/Appear#3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Closure/Appear#4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Drainage/Amt #3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Drainage/Amt #4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Dsg/Status #3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Dsg/Status#4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc/Wound Packing #3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc/Wound Packing #4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Incision/Wound #3 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Incision/Wound #4 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Albumin t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Calcium t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Glucose t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 rs: Final st: NotStopd id: Magnesium t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Total Bili t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: ALT t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Albumin (>3.2) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Differential-Bands t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd
id: Platelets t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd
id: PT t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: INR t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 36.7 n1: 36.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: PTT(22-35) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 36.7 n1: 36.7 rs: Final st: NotStopd
id: Pain Level t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [00:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #2 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Serous v2: Scant st: NotStopd id: Incision/Wound #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Lower Quad st: NotStopd id: Pain Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Position t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Yes st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Green v2: Scant st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [00:00:00 11/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU cv: 350 ac: 24 ap: none re: 0
id: BUN t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Creatinine t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:58:00 10/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mEq/L rs: Final st: NotStopd
id: Lactic Acid t0: [01:05:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:05:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Blood Products t0: [02:56:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Service Type t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: BSA t0: [03:51:00 11/02/2015] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [03:51:00 11/02/2015] el: 1032 cg: -1 cu: CSRU id: Allergy 1 t0: [03:51:00 11/02/2015] el: 1020 cg: -1 cu: CSRU v1: Heparin Agents id: Diagnosis/op t0: [03:51:00 11/02/2015] el: 1023 cg: -1 cu: CSRU v1: SEPSIS id: Service t0: [03:51:00 11/02/2015] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [03:51:00 11/02/2015] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [03:51:00 11/02/2015] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [03:51:00 11/02/2015] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [03:51:00 11/02/2015] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [03:51:00 11/02/2015] el: 1021 cg: -1 cu: CSRU v1: Amiodarone id: Ext t0: [03:51:00 11/02/2015] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [03:51:00 11/02/2015] el: 1022 cg: -1 cu: CSRU
id: D5W 100.0ml t0: [23:00:00 10/02/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Pain Present t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [04:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Skin Care t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Support Systems t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: Urine Out Foley t0: [04:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [01:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [02:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [03:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [04:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [05:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml t0: [23:00:00 10/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Packed RBC's t0: [05:00:00 11/02/2015] el: 2 ai: 117 cg: RN cu: CSRU vo: 282 vu: ml uu: Units id: Urine Out Foley t0: [05:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 210 cv: 210 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 210 cv: 210 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 210 cv: 210 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 210 cv: 210 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 170 cv: -330 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 170 cv: -330 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 170 cv: -330 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 170 cv: -330 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: MICU pv: 170 cv: 170 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/02/2015] el: 3 cg: RN cu: CSRU pv: 170 cv: 170 ac: 1 ap: none re: 0
id: WBC (4-11,000) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: WBC t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Hematocrit t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 23.9 n1: 23.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: RBC t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.68 n1: 2.68 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: BUN t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: Code Status t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Calcium t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Glucose t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd id: Magnesium t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: BUN (6-20) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd id: Magnesium (1.6-2.6) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: D5W 100.0ml t0: [06:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: IV #1 Insert Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: PT t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: INR t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 36.7 n1: 36.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:38:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 36.7 n1: 36.7 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Blood Products t0: [07:01:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Packed RBC's t0: [07:00:00 11/02/2015] el: 2 ai: 117 cg: RN cu: CSRU vo: 60 vu: ml uu: Units
id: Fingerstick Glucose t0: [08:00:00 11/02/2015] el: 0 cg: Co-wor cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [08:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Incision/Wound #1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Support Systems t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Packed RBC's t0: [08:00:00 11/02/2015] el: 2 ai: 117 cg: RN cu: CSRU vo: 300 vu: ml uu: Units id: Urine Out Foley t0: [08:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Alarms t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [08:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Blood Products t0: [07:57:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Service Type t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:30:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Position t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Procedures t0: [11:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd
pi: 4301860 hi: 24049 t0: [12:00:00 11/02/2015] tf: [11:00:00 16/02/2015] mn: Ciprofloxacin HCl pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 11/02/2015] el: 0 cg: Co-wor cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [12:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Incision/Wound #1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Flank st: NotStopd id: Pain Type t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Radiologic Study t0: [10:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Effort t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Scant st: NotStopd id: Support Systems t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [12:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Level t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Service Type t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Pain Level (Rest) t0: [12:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Precautions t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
pi: 4302281 hi: 24049 t0: [10:00:00 11/02/2015] tf: [16:00:00 12/02/2015] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Position t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [14:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Service Type t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Hematocrit t0: [13:47:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 23.5 n1: 23.5 u1: % rs: Final st: NotStopd id: Platelets t0: [13:47:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [16:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Incision/Wound #1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Support Systems t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [16:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Temp. Site t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd
id: Packed RBC's t0: [16:00:00 11/02/2015] el: 2 ai: 117 cg: RN cu: CSRU vo: 300 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU cv: 942 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU cv: 942 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU cv: 942 ac: 24 ap: none re: 0
id: Service Type t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [16:15:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Position t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Therapeutic Bed t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MRI st: NotStopd id: Respiratory Rate t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [19:00:00 11/02/2015] el: 0 cg: Co-wor cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [19:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [19:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4303438 hi: 24049 t0: [21:00:00 11/02/2015] tf: [21:00:00 17/02/2015] mn: Mexiletine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H ds: 21, 5, 13 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4303439 hi: 24049 t0: [21:00:00 11/02/2015] tf: [20:00:00 12/02/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [20:00:00 11/02/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #2 Reason DC'D t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Treatment DC'D st: NotStopd id: Risk for Falls t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Topic #1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Ecchymotic st: NotStopd id: Inc Closure/Appear#2 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Approximated st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Serous st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: Level of Conscious t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Lower Quad st: NotStopd id: Pain Type t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Position t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Through Dermis v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: PressSoreWoundBase#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: Respiratory Effort t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: % st: NotStopd id: Sputum Source/Amt t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Support Systems t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 11/02/2015] el: 3 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [20:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU cv: 790 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU cv: 790 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU cv: 790 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [22:00:00 11/02/2015] el: 0 cg: NA cu: CSRU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Hematocrit t0: [21:46:00 11/02/2015] el: 0 cg: 3161 cu: CSRU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Total Hourly Output t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: 140 cv: 1582 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: 140 cv: 1582 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 1582 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: 140 cv: 1582 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: 140 cv: 1582 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 1582 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [20:00:00 11/02/2015] el: 0 cg: RN cu: CSRU v1: done id: Pain Assess Method t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [00:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Effort t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Support Systems t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [00:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Service Type t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Service Type t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [20:00:00 11/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [02:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU cv: 2082 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU cv: 2082 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU cv: 2082 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU cv: 350 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU cv: 350 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: -140 cv: 500 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: -140 cv: 500 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: -140 cv: 500 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: -140 cv: 170 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: -140 cv: 170 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: -140 cv: 170 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/02/2015] el: 1 cg: RN cu: MICU pv: -140 cv: -140 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/02/2015] el: 2 cg: RN cu: CCU pv: -140 cv: -140 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/02/2015] el: 3 cg: RN cu: CSRU pv: -140 cv: -140 ac: 1 ap: none re: 0
id: Service Type t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: WBC (4-11,000) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: WBC t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Hematocrit t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 24.6 n1: 24.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd id: RBC t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.78 n1: 2.78 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd
id: PT t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: INR t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 35.8 n1: 35.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 35.8 n1: 35.8 rs: Final st: NotStopd
id: BUN t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: Calcium t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:26:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [04:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreCleansing#1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [04:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: calprevflg t0: [06:45:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [08:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [08:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fingerstick Glucose t0: [08:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: Service Type t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:20:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4304883 hi: 24049 t0: [10:00:00 12/02/2015] tf: [09:00:00 13/02/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4304884 hi: 24049 t0: [14:00:00 12/02/2015] tf: [10:00:00 14/02/2015] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4304885 hi: 24049 t0: [12:00:00 12/02/2015] tf: [21:00:00 17/02/2015] mn: Calcium Acetate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4304886 hi: 24049 t0: [10:00:00 12/02/2015] tf: [21:00:00 17/02/2015] mn: Milk of Magnesia pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [09:00:00 12/02/2015] el: 2 ai: 117 cg: RN cu: CSRU vo: 279 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 279 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 279 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 279 ac: 24 ap: none re: 0
id: Hematocrit t0: [09:02:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 30.7 n1: 30.7 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 12/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [10:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Source t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [12:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Independent st: NotStopd id: Precautions t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [12:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: D5W 100.0ml t0: [13:00:00 12/02/2015] el: 3 ai: 105 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 1000.0ml t0: [13:00:00 12/02/2015] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [14:00:00 12/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [14:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: IV #2 Reason DC'D t0: [15:00:00 12/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [15:00:00 12/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [15:00:00 12/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [15:00:00 12/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [15:00:00 12/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [15:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: IV #2 Insert Date t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [14:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Activity Tolerance t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Position t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Skin Care t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Excellent st: NotStopd id: Braden Score t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
pi: 4306110 hi: 24049 t0: [10:00:00 12/02/2015] tf: [13:00:00 16/02/2015] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4306111 hi: 24049 t0: [17:00:00 12/02/2015] tf: [18:00:00 16/02/2015] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:30:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: Level of Conscious t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: To Bone v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Small st: NotStopd id: PressSoreTreatment#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: PressSoreWoundBase#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Pressure Sore Odor#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Excellent st: NotStopd id: Braden Score t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:30:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [16:30:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Fingerstick Glucose t0: [17:00:00 12/02/2015] el: 0 cg: CoWker cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: WBC t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Hematocrit t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 26.2 n1: 26.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: RBC t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.93 n1: 2.93 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:32:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: Activity t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: NBP t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [17:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Pain Level t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Level/Response t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [19:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Pain Management t0: [19:00:00 12/02/2015] el: 1 cg: RN cu: CSRU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [19:00:00 12/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [19:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [20:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [20:00:00 12/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [20:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: 24h Total In t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 759 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 759 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 759 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 480 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 480 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 480 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4307412 hi: 24049 t0: [08:00:00 12/02/2015] tf: [09:00:00 13/02/2015] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: Q 24H ds: 8 dn: 1 dt: 25 di: Hours xv: 36 xu: Hours
id: Service Type t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 12/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 2620 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 2620 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 2620 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: -1861 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: -1861 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: -1861 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: -1691 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: -1691 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: -1691 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2015] el: 1 cg: RN cu: MICU cv: 2620 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2015] el: 2 cg: RN cu: CCU cv: 2620 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2015] el: 3 cg: RN cu: CSRU cv: 2620 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: WBC t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Hematocrit t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 25.8 n1: 25.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: RBC t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.92 n1: 2.92 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd
id: BUN t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 rs: Final st: NotStopd id: Calcium t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: PT t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: INR t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: PTT(22-35) t0: [22:51:00 12/02/2015] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 13/02/2015] el: 0 cg: NA cu: CSRU v1: 183 n1: 183 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [00:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 12/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Excellent st: NotStopd id: Braden Score t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [00:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: Activity Tolerance t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Assistance Device t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [01:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: INV Line#1 D/C Date t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Type/Site t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [03:00:00 13/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [03:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Excellent st: NotStopd id: Braden Score t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [03:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fingerstick Glucose t0: [06:00:00 13/02/2015] el: 0 cg: NA cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: bath t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [06:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: NBP t0: [07:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd
id: Pain Level t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Present t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [08:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Type t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [08:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [08:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: WBC (4-11,000) t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: WBC t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: Hematocrit t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: RBC t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [07:08:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 rs: Final st: NotStopd
pi: 4308503 hi: 24049 t0: [08:00:00 13/02/2015] tf: [23:00:00 13/02/2015] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: Q 24H ds: 8 dn: 1 dt: 14 di: Hours xv: 36 xu: Hours
id: Service Type t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [09:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Fingerstick Glucose t0: [12:00:00 13/02/2015] el: 0 cg: Co-wor cu: CSRU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Cough Effort t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [12:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [12:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [12:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Service Type t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: Activity Tolerance t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Assistance Device t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [14:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 160 vu: ml id: Urine Out Foley t0: [14:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Stool Out Stool t0: [14:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Pain Present t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Effort t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [16:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Po Intake t0: [16:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [16:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: Activity Tolerance t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Assistance Device t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Po Intake t0: [18:00:00 13/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 240 vu: ml id: Urine Out Foley t0: [18:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: 24h Total In t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 960 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 960 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 960 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 960 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 960 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 960 ac: 24 ap: none re: 0
id: Stool Out Stool t0: [18:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Stool Out Stool t0: [19:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 24 ap: carryForward re: 0 id: Stool Out Total t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Stool Out Total t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Pain Level t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Level/Response t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [20:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Management t0: [20:00:00 13/02/2015] el: 1 cg: RN cu: CSRU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreCleansing#1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [20:00:00 13/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Total Hourly Output t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 1315 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 1315 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 1315 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: -355 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: -355 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: -355 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: -2046 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: -2046 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: -2046 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/02/2015] el: 1 cg: RN cu: MICU cv: 1315 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 13/02/2015] el: 2 cg: RN cu: CCU cv: 1315 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 13/02/2015] el: 3 cg: RN cu: CSRU cv: 1315 ac: 24 ap: carryForward re: 0
id: Service Type t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 13/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd id: WBC t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd id: Hematocrit t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 26.1 n1: 26.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: RBC t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 2.88 n1: 2.88 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd
id: PT t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd
id: BUN t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Magnesium t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [22:26:00 13/02/2015] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: Pain Present t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [01:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreCleansing#1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressSoreTreatment#1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [01:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [01:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
pi: 4311165 hi: 24049 t0: [03:00:00 14/02/2015] tf: [02:00:00 15/02/2015] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Pain Level t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Level/Response t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [05:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pain Management t0: [05:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Position t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [05:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [05:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: bath t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [07:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Total Hourly Output t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 1510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: -300 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: -2346 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 1510 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Daily Wake Up t0: [08:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreCleansing#1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [08:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4311818 hi: 24049 t0: [11:00:00 14/02/2015] tf: [21:00:00 17/02/2015] mn: Lactulose pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4312174 hi: 24049 t0: [13:00:00 14/02/2015] tf: [12:00:00 15/02/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4312178 hi: 24049 t0: [08:00:00 14/02/2015] tf: [21:00:00 17/02/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q 24H ds: 20 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough Type t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: CVP Alarm (Lo/Hi) t0: [13:00:00 14/02/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Stool Out Stool t0: [10:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml id: Stool Out Stool t0: [12:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml id: Stool Out Stool t0: [13:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Foley t0: [10:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Urine Out Foley t0: [12:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Service Type t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Hematocrit t0: [14:50:00 14/02/2015] el: 0 cg: 3161 cu: CSRU v1: 28.2 n1: 28.2 u1: % rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [16:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Stool Out Stool t0: [14:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Foley t0: [16:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Po Intake t0: [10:00:00 14/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Po Intake t0: [13:00:00 14/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 140 vu: ml id: Po Intake t0: [16:00:00 14/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Dangle st: NotStopd id: Activity Tolerance t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 rs: Manual st: NotStopd
id: Urine Out Foley t0: [18:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 14/02/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Stool Out Stool t0: [18:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Stool Out Stool t0: [19:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 24 ap: carryForward re: 0 id: Stool Out Total t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Stool Out Total t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [20:00:00 14/02/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Ecchymotic st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Scant st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #2 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Arm, L Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Aquacel st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [19:00:00 14/02/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: D5W 100.0ml t0: [20:00:00 14/02/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [20:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 350 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 350 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 350 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 1210 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 1210 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 1210 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 860 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 860 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/02/2015] el: 3 cg: RN cu: CSRU cv: 860 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 14/02/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 14/02/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Total Hourly Output t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 1510 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 1510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: -300 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: -300 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: -2346 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: -2346 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2015] el: 1 cg: RN cu: MICU cv: 1510 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 14/02/2015] el: 2 cg: RN cu: CCU cv: 1510 ac: 24 ap: carryForward re: 0
ci: 36362 t0: [21:35:00 10/02/2015] cu: CSRU de: Regular ward dt: 5869
pi: 4313216 hi: 24049 t0: [01:00:00 15/02/2015] tf: [21:00:00 17/02/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4314360 hi: 24049 t0: [10:00:00 15/02/2015] tf: [10:00:00 17/02/2015] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4314361 hi: 24049 t0: [10:00:00 15/02/2015] tf: [21:00:00 17/02/2015] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4314363 hi: 24049 t0: [10:00:00 15/02/2015] tf: [21:00:00 17/02/2015] mn: Pravastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4314394 hi: 24049 t0: [15:00:00 15/02/2015] tf: [14:00:00 16/02/2015] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4316359 hi: 24049 t0: [12:00:00 16/02/2015] tf: [21:00:00 17/02/2015] mn: Morphine Sulfate SR pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 12, 0 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4316360 hi: 24049 t0: [12:00:00 16/02/2015] tf: [21:00:00 17/02/2015] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4316656 hi: 24049 t0: [10:00:00 16/02/2015] tf: [21:00:00 17/02/2015] mn: PredniSONE pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4318065 hi: 24049 t0: [19:00:00 16/02/2015] tf: [18:00:00 17/02/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4320222 hi: 24049 t0: [10:00:00 17/02/2015] tf: [21:00:00 17/02/2015] mn: Metoprolol XL pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4320225 hi: 24049 t0: [11:00:00 17/02/2015] tf: [21:00:00 17/02/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 11/03/2015] el: 0 cg: LCP cu: LCP at MIT n1: 21
id: Micro-Neb Treatment t0: [23:00:00 11/03/2015] el: 0 cg: -1 cu: MICU st: D/C'd
pi: 4387769 hi: 17598 t0: [00:00:00 12/03/2015] tf: [22:00:00 24/03/2015] mn: Pantoprazole pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 0 dn: 1 di: Ongoing xu: Enter on Label pi: 4387770 hi: 17598 t0: [00:00:00 12/03/2015] tf: [23:00:00 20/03/2015] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4387771 hi: 17598 t0: [00:00:00 12/03/2015] tf: [23:00:00 20/03/2015] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: CCU st: NotStopd id: Riker-SAS Scale t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Flutter st: NotStopd id: NBP t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Daily Weight t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Ventilator Mode t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: High Insp. Pressure t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 1..1.7 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 507 n1: 507 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 11/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd
id: Diltiazem io: D5W 125.0ml + 125mghr Diltiazem el: 100 cg: RN cu: MICU am: 125 du: mghr rt: IV Drip id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: MICU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: MICU am: 50 du: mghr rt: IV Drip id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: RN cu: MICU am: 60 du: mcgkgmin rt: IV Drip
pi: 4387952 hi: 17598 t0: [01:00:00 12/03/2015] tf: [22:00:00 13/03/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4H ds: 1, 5, 9, 13, 17, 21 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Risk for Falls t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Alarms t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Parameters Checked t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 162 n1: 162 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:35:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.34 n1: 7.34 rs: Final st: NotStopd
id: Service Type t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 157 n1: 157 u1: BPM st: NotStopd id: Heart Rate t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Significant Events t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:35:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [00:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [00:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Type t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:30:00 11/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 11/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: SpO2 t0: [00:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: BSA t0: [00:47:00 12/03/2015] el: 1033 cg: -1 cu: MICU id: Admit Wt t0: [00:47:00 12/03/2015] el: 1032 cg: -1 cu: MICU v1: 75 n1: 75 u1: kg id: Allergy 1 t0: [00:47:00 12/03/2015] el: 1020 cg: -1 cu: MICU v1: Heparin Agents id: Diagnosis/op t0: [00:47:00 12/03/2015] el: 1023 cg: -1 cu: MICU v1: RIGHT UPPER LOBE PNEUMONIA id: Service t0: [00:47:00 12/03/2015] el: 1026 cg: -1 cu: MICU v1: MED id: Admit Ht t0: [00:47:00 12/03/2015] el: 1034 cg: -1 cu: MICU id: Readmission t0: [00:47:00 12/03/2015] el: 1014 cg: -1 cu: MICU id: Marital Status t0: [00:47:00 12/03/2015] el: 1006 cg: -1 cu: MICU v1: S id: Religion t0: [00:47:00 12/03/2015] el: 1000 cg: -1 cu: MICU v1: RCA id: Allergy 2 t0: [00:47:00 12/03/2015] el: 1021 cg: -1 cu: MICU v1: Amiodarone id: Ext t0: [00:47:00 12/03/2015] el: 1010 cg: -1 cu: MICU id: Allergy 3 t0: [00:47:00 12/03/2015] el: 1022 cg: -1 cu: MICU
id: Fentanyl t0: [00:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:35:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:35:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 12/03/2015] el: 1 cg: RN cu: MICU v1: Unstbl Vent Stat st: NotStopd id: Daily Wake Up t0: [23:30:00 11/03/2015] el: 1 cg: RN cu: MICU v1: Yes st: NotStopd
id: Urine Out Foley t0: [01:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 115 vu: ml id: Urine Out Foley t0: [23:30:00 11/03/2015] el: 1 cg: RN cu: MICU vo: 325 vu: ml
id: WBC (4-11,000) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 26.8 n1: 26.8 rs: Final st: NotStopd id: WBC t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 26.8 n1: 26.8 rs: Final st: NotStopd id: Hematocrit t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 37.4 n1: 37.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 4.11 n1: 4.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 26.8 n1: 26.8 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:45:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Eye Opening t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: Level of Conscious t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Orientation t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Verbal Response t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd
pi: 4388005 hi: 17598 t0: [02:00:00 12/03/2015] tf: [11:00:00 07/04/2015] mn: Mexiletine HCl pt: Unit Dose st: Discontinued rt: PO fr: Q8H ds: 2, 10, 18 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4388007 hi: 17598 t0: [02:00:00 12/03/2015] tf: [01:00:00 13/03/2015] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388009 hi: 17598 t0: [02:00:00 12/03/2015] tf: [10:00:00 12/03/2015] mn: Linezolid pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388016 hi: 17598 t0: [10:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Multivitamins pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4388017 hi: 17598 t0: [02:00:00 12/03/2015] tf: [12:00:00 03/04/2015] mn: Acetaminophen pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4388018 hi: 17598 t0: [08:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4388019 hi: 17598 t0: [08:00:00 12/03/2015] tf: [09:00:00 12/03/2015] mn: Senna pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4388020 hi: 17598 t0: [02:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4388021 hi: 17598 t0: [10:00:00 12/03/2015] tf: [20:00:00 13/03/2015] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4388022 hi: 17598 t0: [10:00:00 12/03/2015] tf: [03:00:00 06/04/2015] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4388023 hi: 17598 t0: [02:00:00 12/03/2015] tf: [01:00:00 16/03/2015] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Expired rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 dt: 4 di: Days xv: 36 xu: Hours pi: 4388024 hi: 17598 t0: [10:00:00 12/03/2015] tf: [17:00:00 16/03/2015] mn: Fludrocortisone Acetate pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 7 di: Days xv: 36 xu: Hours pi: 4388025 hi: 17598 t0: [02:00:00 12/03/2015] tf: [16:00:00 13/03/2015] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4388026 hi: 17598 t0: [02:00:00 12/03/2015] tf: [02:00:00 12/03/2015] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4388054 hi: 17598 t0: [02:00:00 12/03/2015] tf: [12:00:00 19/03/2015] mn: Metronidazole pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 2, 10, 18 dn: 3 di: Ongoing xv: 36 xu: Hours
id: PT t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: INR t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 29 n1: 29 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: PTT(22-35) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 29 n1: 29 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Ventilator Type t0: [00:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 120 n1: 120 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 128 n1: 128 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 128 n1: 128 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 132 n1: 132 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 132 n1: 132 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Calcium t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 111 n1: 111 rs: Final st: NotStopd id: Cholesterol t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 125 n1: 125 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 145 n1: 145 rs: Final st: NotStopd id: Total Bili t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: ALT t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 111 n1: 111 rs: Final st: NotStopd id: Cholesterol (<200) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 125 n1: 125 u1: mg/dl rs: Final st: NotStopd id: Glucose (70-105) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 145 n1: 145 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4388121 hi: 17598 t0: [10:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Atorvastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4388129 hi: 17598 t0: [03:00:00 12/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388213 hi: 17598 t0: [03:00:00 12/03/2015] tf: [16:00:00 13/03/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [01:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 37.4 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Urine Out Foley t0: [02:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: BUN t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: BUN (6-20) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd
id: Differential-Bands t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 0 n1: 0 rs: Final st: NotStopd
id: Platelets t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 66 n1: 66 rs: Final st: NotStopd
id: Service Type t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [03:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Neosynephrine-k t0: [02:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Neosynephrine-k t0: [02:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Effort t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Cough Effort t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: Cough Type t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Productive st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Diet Type t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: points st: NotStopd id: GCS Total t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 9 n1: 9 u1: points st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Effort t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Normal st: NotStopd id: Respiratory Effort t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Labored st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Cloudy st: NotStopd id: Urine Color/Appear t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Bowel Sounds t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Urine Out Foley t0: [03:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 415 vu: ml
id: D5W 100.0ml t0: [02:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 350 vu: ml id: D5W 100.0ml t0: [03:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 100 vu: ml
id: Less Restrict Meas. t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Position Change t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: To Bone v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Purulent v2: Moderate st: NotStopd id: PressSoreWoundBase#1 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Purple st: NotStopd id: Pressure Sore Odor#1 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: Braden Activity t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Mobility t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Moist st: NotStopd id: Braden Nutrition t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Position Change t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position Change t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [02:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: INV Line#1 Type/Site t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [23:30:00 11/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd
id: INV Line#1 Type/Site t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd
id: Service Type t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 12/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: Pain Location t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd
id: Service Type t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Cough Effort t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Position t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pt./Family Informed t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [04:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [04:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Albumin t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Albumin (>3.2) t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: CPK/MB t0: [00:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 5 n1: 5 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19.3 n1: 19.3 rs: Final st: NotStopd id: WBC t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19.3 n1: 19.3 rs: Final st: NotStopd id: Hematocrit t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 34.7 n1: 34.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 52 n1: 52 rs: Final st: NotStopd id: RBC t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.85 n1: 3.85 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19.3 n1: 19.3 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Agitated st: NotStopd id: ETT Mark/Location t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1..2.6 st: NotStopd id: Airway Size t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 15.8 n1: 15.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: BUN t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 99 n1: 99 rs: Final st: NotStopd id: Calcium t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 99 n1: 99 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Service Type t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 161 n1: 161 rs: Manual st: NotStopd
pi: 4388507 hi: 17598 t0: [08:00:00 12/03/2015] tf: [07:00:00 13/03/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388508 hi: 17598 t0: [08:00:00 12/03/2015] tf: [07:00:00 13/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Cough Effort t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Labored st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 5 vu: ml
id: Fentanyl t0: [08:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 17.2414 n1: 17.2414 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1:2.6 st: NotStopd id: Airway Size t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 549 n1: 549 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.7 n1: 8.7 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: Service Type t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Previous Weight t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [08:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 200 vu: ml id: Lactated Ringers t0: [09:00:00 12/03/2015] el: 1 ai: 106 cg: RN cu: MICU vo: 500 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [09:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4.5 vu: ml
id: Fentanyl t0: [08:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [09:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4388792 hi: 17598 t0: [20:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4388839 hi: 17598 t0: [20:00:00 12/03/2015] tf: [23:00:00 07/04/2015] mn: Papain-Urea Spray pt: Unit Dose st: Discontinued rt: TP fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4388844 hi: 17598 t0: [12:00:00 12/03/2015] tf: [18:00:00 12/03/2015] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 15.4541 n1: 15.4541 u1: ml/dl st: NotStopd id: Lactic Acid t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 156 n1: 156 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: SaO2 t0: [09:04:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 119 n1: 119 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: D5W 100.0ml t0: [10:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [10:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 2.5 vu: ml id: Urine Out Foley t0: [10:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 1 vu: ml
id: Fentanyl t0: [10:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Respiratory Rate Set t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Ventilator Mode t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:40:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
pi: 4388864 hi: 17598 t0: [22:00:00 12/03/2015] tf: [18:00:00 12/03/2015] mn: Linezolid pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 2, 14 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Arterial BP t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 149 n1: 149 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Midazolam t0: [10:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CPK/MB t0: [04:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 5 n1: 5 rs: Final st: NotStopd
id: INV#2Chg o/Wire Date t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Arterial BP t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 153 n1: 153 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [11:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [11:00:00 12/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 14.0625 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 3.75 vu: ml id: Urine Out Foley t0: [11:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 1.5 vu: ml
id: HOB t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Position t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Braden Activity t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [11:01:00 12/03/2015] el: 1 ai: 199 cg: -1 cu: MICU vo: 0 st: D/C'd
id: Fentanyl t0: [11:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Fentanyl t0: [11:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 127 n1: 127 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 22.1 n1: 22.1 rs: Final st: NotStopd id: WBC t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 22.1 n1: 22.1 rs: Final st: NotStopd id: Hematocrit t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 35.6 n1: 35.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.88 n1: 3.88 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 22.1 n1: 22.1 rs: Final st: NotStopd
id: Platelets t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 60 n1: 60 rs: Final st: NotStopd
id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 200 cg: RN cu: MICU am: 60 du: mcgkgmin rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Range of Motion t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: bath t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: done id: INV#2Chg o/Wire Date t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Agitated st: NotStopd id: Cough Effort t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Daily Wake Up t0: [08:00:00 12/03/2015] el: 1 cg: RN cu: MICU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Follows Commands t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: HOB t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 123 n1: 123 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: To Bone v2: Yes st: NotStopd id: PressSore Depth #1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Serosanguinous v2: Scant st: NotStopd id: PressSore Wth/Lth #1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Odor#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Nail Bed v2: Localizes st: NotStopd id: Responds to Stimuli t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 8.75 vu: ml id: Urine Out Foley t0: [12:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 15.625 n1: 15.625 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1:4 st: NotStopd id: Airway Size t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 15.1 n1: 15.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 37 n1: 37 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 514 n1: 514 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 9.6 n1: 9.6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:10:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: BUN t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 97 n1: 97 rs: Final st: NotStopd id: Calcium t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 97 n1: 97 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Digoxin t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.4 n1: 1.4 u1: ng rs: Final st: NotStopd id: Glucose (70-105) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [10:11:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 148 n1: 148 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [13:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml
id: Art.pH t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [13:05:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [14:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 100 vu: ml
id: TF Residual t0: [12:00:00 12/03/2015] el: 1 ai: 210 cg: RN cu: MICU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 12/03/2015] el: 1 ai: 155 cg: RN cu: MICU vo: 30 vu: ml id: Gastric Meds t0: [14:00:00 12/03/2015] el: 1 ai: 155 cg: RN cu: MICU vo: 30 vu: ml
id: GI#1 Tube PlaceCheck t0: [12:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd
id: Service Type t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [15:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [15:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4389992 hi: 17598 t0: [16:00:00 12/03/2015] tf: [15:00:00 13/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4389993 hi: 17598 t0: [10:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Zinc Sulfate pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4389994 hi: 17598 t0: [20:00:00 12/03/2015] tf: [14:00:00 07/04/2015] mn: Ascorbic Acid pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [16:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 300 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 15.1515 n1: 15.1515 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 37.8 n1: 37.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7.2 n1: 7.2 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Heart Rate t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 155 n1: 155 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: To Bone v2: Yes st: NotStopd id: PressSore Depth #1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Wet to Dry st: NotStopd id: Pressure Sore Odor#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Mobility t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 12/03/2015] el: 1 ai: 210 cg: RN cu: MICU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [16:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [16:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 145 n1: 145 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: Gastric Meds t0: [16:00:00 12/03/2015] el: 1 ai: 155 cg: RN cu: MICU vo: 40 vu: ml id: ProBalance t0: [17:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [17:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU cv: 100 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU cv: 100 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: HOB t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None/Remarks st: NotStopd id: Position t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd
id: Art.pH t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 158 n1: 158 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.6 n1: 1.6 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 151 n1: 151 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 182 n1: 182 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Eye Care t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Care t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: To Bone v2: Yes st: NotStopd id: PressSore Depth #1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Serosanguinous v2: Scant st: NotStopd id: PressSore Wth/Lth #1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: Reason For Restraint t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: INV#2 Cap Change t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Pt./Family Informed t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Braden Activity t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [18:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: ProBalance t0: [18:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml
id: Neosynephrine-k t0: [18:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [18:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 125 vu: ml
id: D5W 100.0ml t0: [17:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml
id: BUN t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 93 n1: 93 rs: Final st: NotStopd id: Calcium t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 93 n1: 93 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:37:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 153 n1: 153 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: ProBalance t0: [19:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [19:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [19:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4390855 hi: 17598 t0: [20:00:00 12/03/2015] tf: [12:00:00 19/03/2015] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 20, 4, 12 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 153 n1: 153 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: calprevflg t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:00:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 12/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: Pain Location t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 12/03/2015] el: 1 cg: RN cu: MICU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 22.7273 n1: 22.7273 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 15.4 n1: 15.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: CVP t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 9 n1: 9 u1: mmHg st: NotStopd
id: Cough Effort t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: Diet Type t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Diet Type t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Insp Wheeze st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Insp Wheeze st: NotStopd id: Respiratory Effort t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Responds to Stimuli t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Nail Bed v2: Localizes st: NotStopd id: Urine Source t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: ProBalance t0: [20:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml
id: Less Restrict Meas. t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: HOB t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position Change t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position Change t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: Reason For Restraint t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2 Cap Change t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pt./Family Informed t0: [19:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: Service Type t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 128 n1: 128 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:15:00 12/03/2015] el: 2 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 138 n1: 138 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Procainamide io: D5W 250.0ml + 1mgmin Procainamide el: 100 cg: RN cu: MICU am: 1 du: mgmin rt: IV Drip
pi: 4391458 hi: 17598 t0: [23:00:00 12/03/2015] tf: [22:00:00 13/03/2015] pt: IV Piggyback st: Expired rt: IV fr: 1X ds: 23 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Art.pH t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Potassium t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:07:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Service Type t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 214 n1: 214 u1: BPM st: NotStopd id: Heart Rate t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 163 n1: 163 u1: BPM st: NotStopd id: Heart Rate t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 157 n1: 157 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Vent. Tachy st: NotStopd id: Heart Rhythm t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Vent. Tachy st: NotStopd id: Heart Rhythm t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Vent. Tachy st: NotStopd id: Arterial BP t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Previous Weight t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: EKG st: NotStopd id: Respiratory Rate t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:40:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:50:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:45:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 3.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:45:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 3.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:45:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 3 vu: ml
id: Fentanyl t0: [22:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:50:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:40:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:50:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [22:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [22:50:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 12/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 1.25 vu: ml id: Urine Out Foley t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 12/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 1 vu: ml
id: Total Hourly Output t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 90 cv: 2890 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 90 cv: 2890 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 90 cv: 2890 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 90 cv: 2890 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 90 cv: 2890 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 90 cv: 2890 ac: 24 ap: none re: 0
id: Service Type t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 149 n1: 149 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Vent. Tachy st: NotStopd id: Arterial BP t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:55:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:55:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:55:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [22:55:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4391520 hi: 17598 t0: [00:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4391521 hi: 17598 t0: [00:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4391522 hi: 17598 t0: [00:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4391545 hi: 17598 t0: [00:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Procainamide HCl pt: IV Piggyback st: Discontinued rt: IV BOLUS fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4391551 hi: 17598 t0: [01:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Procainamide HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION ds: 1 dt: 24 di: Hours xu: Enter on Label
id: ETT Mark/Location t0: [22:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [22:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [22:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Intubation Date t0: [22:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Sputum Source/Amt t0: [22:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 144 n1: 144 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 138 n1: 138 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 131 n1: 131 u1: BPM st: NotStopd id: Arterial BP t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [23:15:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [23:30:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 20 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Lactic Acid t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 280 n1: 280 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [23:32:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 17.5 n1: 17.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:45:00 12/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: Vasopressin io: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin el: 100 cg: RN cu: MICU am: 200 du: Umin rt: IV Drip
id: WBC (4-11,000) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: WBC t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: Hematocrit t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 33.7 n1: 33.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.71 n1: 3.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 20.8 n1: 20.8 rs: Final st: NotStopd
id: BUN t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 97 n1: 97 rs: Final st: NotStopd id: Calcium t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 97 n1: 97 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [21:40:00 12/03/2015] el: 0 cg: 140 cu: MICU v1: 150 n1: 150 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:30:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:30:00 12/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 1000 vu: ml
id: Service Type t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [23:45:00 12/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 143 n1: 143 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: BPM st: NotStopd id: Arterial BP t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Previous Weight t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Cardioversion st: NotStopd id: SpO2 t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:15:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [00:15:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:15:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: Pain Management t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU v1: IV Gtt st: NotStopd id: Position Change t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position Change t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: CVP t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Significant Events t0: [22:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: Significant Events t0: [23:30:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd
id: ProBalance t0: [21:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml id: ProBalance t0: [22:00:00 12/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 10 vu: ml st: Stopped
id: Tube Feeds In Total t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU cv: 60 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: Service Type t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:15:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 152 n1: 152 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [00:33:00 13/03/2015] el: 1033 cg: -1 cu: MICU v1: 1.93089 n1: 1.93089 u1: m2 id: Admit Wt t0: [00:33:00 13/03/2015] el: 1032 cg: -1 cu: MICU v1: 75 n1: 75 u1: kg id: Allergy 1 t0: [00:33:00 13/03/2015] el: 1020 cg: -1 cu: MICU v1: Heparin Agents id: Diagnosis/op t0: [00:33:00 13/03/2015] el: 1023 cg: -1 cu: MICU v1: RIGHT UPPER LOBE PNEUMONIA id: Service t0: [00:33:00 13/03/2015] el: 1026 cg: -1 cu: MICU v1: MED id: Admit Ht t0: [00:33:00 13/03/2015] el: 1034 cg: -1 cu: MICU v1: 70 n1: 70 u1: inches id: Readmission t0: [00:33:00 13/03/2015] el: 1014 cg: -1 cu: MICU id: Marital Status t0: [00:33:00 13/03/2015] el: 1006 cg: -1 cu: MICU v1: S id: Religion t0: [00:33:00 13/03/2015] el: 1000 cg: -1 cu: MICU v1: RCA id: Allergy 2 t0: [00:33:00 13/03/2015] el: 1021 cg: -1 cu: MICU v1: Amiodarone id: Ext t0: [00:33:00 13/03/2015] el: 1010 cg: -1 cu: MICU id: Allergy 3 t0: [00:33:00 13/03/2015] el: 1022 cg: -1 cu: MICU
id: Neosynephrine-k t0: [00:35:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Potassium t0: [00:35:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:35:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.5 n1: 4.5 rs: Final st: NotStopd
id: Procainamide t0: [00:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [00:15:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [00:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [00:45:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [23:45:00 12/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Vasopressin t0: [00:15:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [00:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Significant Events t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 1000 vu: ml
id: D5W 100.0ml t0: [00:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: D5W 100.0ml t0: [23:00:00 12/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml
pi: 4391737 hi: 17598 t0: [08:00:00 13/03/2015] tf: [12:00:00 18/03/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 dt: 79 di: Hours xv: 36 xu: Hours pi: 4391738 hi: 17598 t0: [02:00:00 13/03/2015] tf: [16:00:00 13/03/2015] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Bolus 3000 ml Over 120 mins it: B dt: 1 di: Doses xu: Enter on Label
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 6 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [01:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 6 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [00:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 30 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [01:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [23:00:00 12/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 300 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 1412.75 cv: 4387.76 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 1412.75 cv: 4387.76 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 1412.75 cv: 4387.76 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 1412.75 cv: 4547.76 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 1412.75 cv: 4547.76 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 1412.75 cv: 4547.76 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 1322.75 cv: 1657.76 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 1322.75 cv: 1657.76 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 1322.75 cv: 1657.76 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 1322.75 cv: 1657.76 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 1322.75 cv: 1657.76 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 1322.75 cv: 1657.76 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/03/2015] el: 1 cg: RN cu: MICU pv: 1322.75 cv: 1322.75 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/03/2015] el: 2 cg: RN cu: CCU pv: 1322.75 cv: 1322.75 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/03/2015] el: 3 cg: RN cu: CSRU pv: 1322.75 cv: 1322.75 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 110 n1: 110 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [01:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [01:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [02:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [01:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [01:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [02:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: ProBalance t0: [02:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vu: ml st: Restart id: D5W 250.0ml + 1mgmin Procainamide t0: [02:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Less Restrict Meas. t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Cough Effort t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Position t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: PressureReduceDevice t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: PressureReduceDevice t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Restraint Location t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: INV#2 Cap Change t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Turn t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [02:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 12/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Service Type t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Alarms t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Parameters Checked t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 135 n1: 135 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 140 n1: 140 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: calprevflg t0: [02:30:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [02:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [03:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [02:30:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [03:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Cough Effort t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: Daily Wake Up t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tube Feeding st: NotStopd id: Eye Opening t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Not Done st: NotStopd id: HOB t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Restraint Location t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2 Cap Change t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Pt./Family Informed t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [04:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [03:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [03:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [04:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: D5W 100.0ml t0: [02:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 300 vu: ml
id: Service Type t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 136 n1: 136 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [05:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [05:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:30:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [05:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [05:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: WBC (4-11,000) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: WBC t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: Hematocrit t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 28.5 n1: 28.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.12 n1: 3.12 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 15.1 n1: 15.1 rs: Final st: NotStopd
id: BUN t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 91 n1: 91 rs: Final st: NotStopd id: Calcium t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Glucose t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 219 n1: 219 rs: Final st: NotStopd id: Magnesium t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 91 n1: 91 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 219 n1: 219 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd
id: PT t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: INR t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 30 n1: 30 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 30 n1: 30 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 139 n1: 139 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Precautions t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: D5W 100.0ml t0: [06:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [06:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [06:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [06:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Chloride t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 120 n1: 120 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 120 n1: 120 rs: Final st: NotStopd
id: Urine Out Foley t0: [06:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 150 vu: ml
id: Digoxin t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 u1: ng rs: Final st: NotStopd
id: bath t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: DONE id: Eye Care t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: Skin Care t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 13/03/2015] el: 0 cg: CoWker cu: MICU v1: 260 n1: 260 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 144 n1: 144 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: EKG st: NotStopd id: Respiratory Rate t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [07:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [07:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [07:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [07:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [07:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 1:3.0 st: NotStopd id: Airway Size t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 644 n1: 644 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 143 n1: 143 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [08:00:00 13/03/2015] el: 1 ai: 210 cg: RN cu: MICU vo: 55 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/03/2015] el: 2 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [08:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [08:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [08:01:00 13/03/2015] el: 2 ai: 107 cg: -1 cu: MICU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Cough Effort t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tube Feeding st: NotStopd id: Eye Care t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Restraint Location t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: INV#2 Cap Change t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Service Type t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 136 n1: 136 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [09:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [09:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 240 n1: 240 rs: Manual st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: MICU am: 100 du: Uhr rt: IV Drip
pi: 4392701 hi: 17598 t0: [11:00:00 13/03/2015] tf: [21:00:00 15/03/2015] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Art.pH t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Lactic Acid t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [10:09:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: CVP t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 137 n1: 137 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Free Water Bolus t0: [10:00:00 13/03/2015] el: 1 ai: 274 cg: RN cu: MICU vo: 100 vu: ml
id: Fentanyl t0: [10:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [09:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Procainamide t0: [10:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [08:00:00 13/03/2015] el: 2 ai: 155 cg: RN cu: MICU vu: ml id: Gastric Meds t0: [08:00:00 13/03/2015] el: 1 ai: 155 cg: RN cu: MICU vo: 30 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [10:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: D5W 250.0ml + 1mgmin Procainamide t0: [08:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vu: ml st: Stopped id: D5W 250.0ml + 1mgmin Procainamide t0: [09:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vu: ml id: D5W 250.0ml + 1mgmin Procainamide t0: [10:00:00 13/03/2015] el: 1 ai: 381 cg: RN cu: MICU vu: ml
id: Potassium t0: [10:53:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:53:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 13/03/2015] el: 1 cg: 140 cu: MICU cv: 130 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/03/2015] el: 2 cg: 1663 cu: CCU cv: 130 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/03/2015] el: 3 cg: 3161 cu: CSRU cv: 130 ac: 24 ap: none re: 0
id: Service Type t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Potassium t0: [10:10:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Potassium (3.5-5.3) t0: [10:10:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: MICU vo: 2 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [11:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [11:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Albumin t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2 n1: 2 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:43:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2 n1: 2 rs: Final st: NotStopd
pi: 4392837 hi: 17598 t0: [12:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4392838 hi: 17598 t0: [12:00:00 13/03/2015] tf: [16:00:00 13/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Weak st: NotStopd id: Daily Wake Up t0: [12:00:00 13/03/2015] el: 1 cg: RN cu: MICU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Eye Care t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GCS Total t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 7 n1: 7 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position Change t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Serosanguinous v2: Scant st: NotStopd id: PressSore Wth/Lth #1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Aquacel st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Sheepskin st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Effort t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Suctioned v2: Small st: NotStopd id: INV#2 Cap Change t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 No Response st: NotStopd id: calprevflg t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Fingerstick Glucose t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 191 n1: 191 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: TF Residual t0: [12:00:00 13/03/2015] el: 1 ai: 210 cg: RN cu: MICU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: MICU vo: 2 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [12:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: ProBalance t0: [08:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 30 vu: ml id: ProBalance t0: [09:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 30 vu: ml id: ProBalance t0: [10:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 30 vu: ml id: ProBalance t0: [11:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 30 vu: ml id: ProBalance t0: [12:00:00 13/03/2015] el: 1 ai: 216 cg: RN cu: MICU vo: 30 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [12:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 3359.75 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 3639.75 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 150 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 1250 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 2389.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 4047.51 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: MICU cv: 1250 ac: 24 ap: none re: 0
id: CVP t0: [11:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: mmHg st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Done st: NotStopd id: FiO2 Set t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 0.401 n1: 0.401 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 1:3.0 st: NotStopd id: Airway Size t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 18.7 n1: 18.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 599 n1: 599 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 13/03/2015] el: 0 cg: RRT cu: MICU v1: RAMP st: NotStopd
pi: 4393136 hi: 17598 t0: [13:00:00 13/03/2015] tf: [23:00:00 20/03/2015] mn: Vasopressin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 199 n1: 199 rs: Manual st: NotStopd
id: BSA t0: [12:44:00 13/03/2015] el: 1033 cg: -1 cu: MICU v1: 1.93089 n1: 1.93089 u1: m2 id: Admit Wt t0: [12:44:00 13/03/2015] el: 1032 cg: -1 cu: MICU v1: 75 n1: 75 u1: kg id: Allergy 1 t0: [12:44:00 13/03/2015] el: 1020 cg: -1 cu: MICU v1: Heparin Agents id: Diagnosis/op t0: [12:44:00 13/03/2015] el: 1023 cg: -1 cu: MICU v1: RIGHT UPPER LOBE PNEUMONIA id: Service t0: [12:44:00 13/03/2015] el: 1026 cg: -1 cu: MICU v1: MED id: Admit Ht t0: [12:44:00 13/03/2015] el: 1034 cg: -1 cu: MICU v1: 70 n1: 70 u1: inches id: Readmission t0: [12:44:00 13/03/2015] el: 1014 cg: -1 cu: MICU id: Marital Status t0: [12:44:00 13/03/2015] el: 1006 cg: -1 cu: MICU v1: S id: Religion t0: [12:44:00 13/03/2015] el: 1000 cg: -1 cu: MICU v1: RCA id: Allergy 2 t0: [12:44:00 13/03/2015] el: 1021 cg: -1 cu: MICU v1: Amiodarone id: Ext t0: [12:44:00 13/03/2015] el: 1010 cg: -1 cu: MICU id: Allergy 3 t0: [12:44:00 13/03/2015] el: 1022 cg: -1 cu: MICU
id: Service Type t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 193 n1: 193 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [12:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: D5W 100.0ml t0: [13:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [13:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [13:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 20.9 n1: 20.9 rs: Final st: NotStopd id: WBC t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 20.9 n1: 20.9 rs: Final st: NotStopd id: Hematocrit t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.27 n1: 3.27 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 20.9 n1: 20.9 rs: Final st: NotStopd
id: Platelets t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 70 n1: 70 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 130 n1: 130 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/03/2015] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 13/03/2015] el: 1 ai: 105 cg: RN cu: MICU vo: 100 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [14:00:00 13/03/2015] el: 1 ai: 199 cg: RN cu: MICU vo: 18.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: MICU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: MICU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Procainamide t0: [14:00:00 13/03/2015] el: 1 cg: RN cu: MICU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 88 n1: 88 rs: Final st: NotStopd id: Calcium t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 155 n1: 155 rs: Final st: NotStopd id: Magnesium t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 88 n1: 88 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 155 n1: 155 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [13:12:00 13/03/2015] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd
ci: 36860 t0: [23:27:00 11/03/2015] cu: MICU de: CCU dt: 2360
id: BSA t0: [14:49:00 13/03/2015] el: 1033 cg: -1 cu: CCU v1: 1.93089 n1: 1.93089 u1: m2 id: Admit Wt t0: [14:49:00 13/03/2015] el: 1032 cg: -1 cu: CCU v1: 75 n1: 75 u1: kg id: Allergy 1 t0: [14:49:00 13/03/2015] el: 1020 cg: -1 cu: CCU v1: Heparin Agents id: Diagnosis/op t0: [14:49:00 13/03/2015] el: 1023 cg: -1 cu: CCU v1: RIGHT UPPER LOBE PNEUMONIA id: Service t0: [14:49:00 13/03/2015] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [14:49:00 13/03/2015] el: 1034 cg: -1 cu: CCU v1: 70 n1: 70 u1: inches id: Readmission t0: [14:49:00 13/03/2015] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [14:49:00 13/03/2015] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [14:49:00 13/03/2015] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [14:49:00 13/03/2015] el: 1021 cg: -1 cu: CCU v1: Linezolid id: Ext t0: [14:49:00 13/03/2015] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [14:49:00 13/03/2015] el: 1022 cg: -1 cu: CCU
id: Vasopressin io: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin el: 102 cg: RN cu: CCU am: 100 du: Umin rt: IV Drip
id: NBP t0: [15:00:00 13/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [15:00:00 13/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
io: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin el: 1 cg: RN cu: CCU ra: 6 ru: ml/hr
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [15:00:00 13/03/2015] el: 1 ai: 199 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Compliance (40-60ml) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 15.6 n1: 15.6 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 484 n1: 484 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 183 n1: 183 rs: Manual st: NotStopd
id: Fentanyl t0: [15:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [15:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [15:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4394047 hi: 17598 t0: [10:00:00 13/03/2015] tf: [03:00:00 25/03/2015] mn: Papain-Urea Ointment pt: Unit Dose st: Discontinued rt: TP fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Code Status t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 153 n1: 153 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [16:00:00 13/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [16:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4394261 hi: 17598 t0: [18:00:00 13/03/2015] tf: [22:00:00 13/03/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4394262 hi: 17598 t0: [18:00:00 13/03/2015] tf: [22:00:00 13/03/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 136 n1: 136 rs: Manual st: NotStopd
id: bath t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done id: INV#2Chg o/Wire Date t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Care t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: HOB t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: Respiratory Effort t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Dyspneic st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: INV#2 Cap Change t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [17:00:00 13/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [17:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [17:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Lactic Acid t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 112 n1: 112 rs: Manual st: NotStopd
id: PEEP Set t0: [18:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [18:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Total PEEP Level t0: [18:00:00 13/03/2015] el: 0 cg: RRT cu: CCU u1: cmH2O st: NotStopd id: Ventilator Mode t0: [18:00:00 13/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Other/Remarks st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry st: NotStopd id: Incision/Wound #1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Arterial BP t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Skin Integrity t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [18:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [18:00:00 13/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [18:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 15.6 n1: 15.6 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Ve High t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:30:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [19:57:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: D5W 250.0ml + 1mgmin Procainamide t0: [20:00:00 13/03/2015] el: 1 ai: 381 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [20:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 94 n1: 94 rs: Manual st: NotStopd
id: Service Type t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 175 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Procainamide t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Mean Airway Pressure t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:42:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd
id: Diet Type t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: Level of Conscious t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Responds to Stimuli t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Urine Source t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [21:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Less Restrict Meas. t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Topic #1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Other/Remarks st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Oral Cavity t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: INV#2 Cap Change t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Pt./Family Informed t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 89 n1: 89 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Code Status t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 13/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.4068 n1: 13.4068 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [21:52:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Lactated Ringers t0: [22:00:00 13/03/2015] el: 1 ai: 106 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4395249 hi: 17598 t0: [23:00:00 13/03/2015] tf: [05:00:00 07/04/2015] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4395250 hi: 17598 t0: [23:00:00 13/03/2015] tf: [05:00:00 07/04/2015] 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: BUN t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 rs: Final st: NotStopd id: Calcium t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 79 n1: 79 rs: Final st: NotStopd id: Magnesium t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: BUN (6-20) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 79 n1: 79 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:15:00 13/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Code Status t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [22:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [22:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Pressure Support t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: . st: NotStopd id: Resp Rate (Total) t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: 850 n1: 850 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [22:45:00 13/03/2015] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [23:00:00 13/03/2015] el: 0 cg: CoWker cu: CCU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 74.1 n1: 74.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/03/2015] 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 13/03/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 13/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 13/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 13/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 13/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: 10.5 cv: 3460.25 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: 10.5 cv: 3460.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: 10.5 cv: 3740.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: 10.5 cv: 3740.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 1910 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 1910 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: -34.5 cv: 1830.25 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: -34.5 cv: 1830.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: -34.5 cv: 3488.01 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: -34.5 cv: 3488.01 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: -34.5 cv: -34.5 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: -34.5 cv: -34.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/03/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 1910 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/03/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 1910 ac: 24 ap: none re: 0
id: Cough Effort t0: [00:00:00 14/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Cough Type t0: [00:00:00 14/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: PressureReduceDevice t0: [00:00:00 14/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Effort t0: [00:00:00 14/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [00:00:00 14/03/2015] el: 0 cg: CoWker cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 14/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 13/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Gastric Meds t0: [00:00:00 14/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:00:00 14/03/2015] el: 0 cg: CoWker cu: CCU v1: 102 n1: 102 rs: Manual st: NotStopd
id: Mean Airway Pressure t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [01:50:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 750 n1: 750 u1: ml/B st: NotStopd
id: Service Type t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Service Type t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [01:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [02:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [01:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 14/03/2015] el: 0 cg: CoWker cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: RSBI Not Completed t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [03:00:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 7200A st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: calprevflg t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [03:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [03:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 rs: Manual st: NotStopd
id: Service Type t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Service Type t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: Service Type t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [05:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [04:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [05:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 181 n1: 181 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:03:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: WBC t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: Hematocrit t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 33.9 n1: 33.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.66 n1: 3.66 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24.4 n1: 24.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [04:00:00 14/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Education Topic #1 t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Site Date t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Level of Conscious t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Responds to Stimuli t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Gastric Meds t0: [06:00:00 14/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 100 vu: ml
id: FiO2 Set t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Tidal Volume (Spont) t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:10:00 14/03/2015] el: 0 cg: RRts cu: CCU v1: CPAP+PS st: NotStopd
id: BUN t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 rs: Final st: NotStopd id: Albumin t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: BUN (6-20) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: PT t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: INR t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: PTT(22-35) t0: [05:30:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd
pi: 4396061 hi: 17598 t0: [08:00:00 14/03/2015] tf: [07:00:00 15/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MSICU st: NotStopd id: CVP t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 250 vu: ml
id: Fentanyl t0: [07:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [07:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 154 n1: 154 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [07:20:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd
id: SVR t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 662.857 n1: 662.857 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 rs: Manual st: NotStopd id: C.O. (fick) t0: [07:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 6.98903 n1: 6.98903 u1: L/min st: NotStopd
id: ETT Mark/Location t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: SpO2 t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 535 n1: 535 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 14/03/2015] el: 1 ai: 209 cg: -1 cu: CCU vo: 0 st: D/C'd
id: ETT Mark/Location t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Minute Volume(Obser) t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 778 n1: 778 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:15:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/03/2015] 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: [09:00:00 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 750 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 14/03/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [09:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [09:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [09:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 50 cv: 1480 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 50 cv: 1480 ac: 24 ap: none re: 0
id: Po Intake t0: [10:00:00 14/03/2015] el: 2 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Art.pH t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 178 n1: 178 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:16:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Gastric Meds t0: [10:00:00 14/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: Free Water Bolus t0: [10:00:00 14/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 100 vu: ml id: ProBalance t0: [10:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [10:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [10:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 72.5 cv: 4755 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 102.5 cv: 5895 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU cv: 860 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 30 cv: 280 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 52.5 cv: 4415 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 52.5 cv: 7903.01 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU pv: 52.5 cv: 52.5 ac: 1 ap: none re: 0
id: ETT Mark/Location t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sputum Color/Consist t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 568 n1: 568 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: HOB t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Dsg/Status #1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Management t0: [08:00:00 14/03/2015] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Assistance Device t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: To Bone v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: PressSoreWoundBase#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Pressure Sore Odor#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Reason For Restraint t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: ProBalance t0: [11:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [11:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [11:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [12:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Health Care Proxy t0: [08:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd
id: ProBalance t0: [12:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Service Type t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [13:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:14:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: GI Prophylaxis t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Follows Commands t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Oral Cavity t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Responds to Stimuli t0: [10:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Urine Source t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [12:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4397028 hi: 17598 t0: [15:00:00 14/03/2015] tf: [14:00:00 15/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [13:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [14:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [13:00:00 14/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:30:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 1000 vu: ml nb: 1 id: Free Water Bolus t0: [13:00:00 14/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [13:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [14:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [14:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [14:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: ProBalance t0: [15:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [15:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: SpO2 t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: 659 n1: 659 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:30:00 14/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: INV#2Chg o/Wire Date t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: HOB t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [16:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [17:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [17:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [16:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [17:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4397502 hi: 17598 t0: [19:00:00 14/03/2015] tf: [18:00:00 15/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: calprevflg t0: [18:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [18:00:00 14/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Free Water Bolus t0: [18:00:00 14/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [18:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [19:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [07:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [08:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [09:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [10:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [11:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [12:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [13:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [14:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [15:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [16:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [17:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [18:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [19:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [18:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [18:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU cv: 860 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [19:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: SpO2 t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:30:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd
id: Stool Color/Consist t0: [16:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd
id: Pain Present t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Art.pH t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 14.6774 n1: 14.6774 u1: ml/dl st: NotStopd id: Code Status t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 14/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Pt./Family Informed t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: SaO2 t0: [20:00:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd id: Braden Frict/Shear t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: TF Residual t0: [20:00:00 14/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [20:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [20:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [20:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 200 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
id: Service Type t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 14/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 14/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [21:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [21:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [21:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [21:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vasopressin t0: [21:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Insulin t0: [20:00:00 14/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 14/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Care t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/03/2015] 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 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 14/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [22:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [22:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Stool Out Stool t0: [22:00:00 14/03/2015] el: 1 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [22:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [22:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 14/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [22:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: CaO2 t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 14.6464 n1: 14.6464 u1: ml/dl st: NotStopd id: Potassium t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: SaO2 t0: [22:37:00 14/03/2015] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: SpO2 t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 14/03/2015] el: 0 cg: RRt cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 14/03/2015] 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 14/03/2015] 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: [22:30:00 14/03/2015] 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 14/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:30:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 14/03/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [21:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 14/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 14/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [23:00:00 14/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 14/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [23:00:00 14/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [23:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 14/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [22:30:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:30:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:30:00 14/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 14/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [22:30:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [23:00:00 14/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 280 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1480 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1480 ac: 24 ap: none re: 0
pi: 4397997 hi: 17598 t0: [00:00:00 15/03/2015] tf: [23:00:00 15/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: SpO2 t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [00:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd
pi: 4398059 hi: 17598 t0: [01:00:00 15/03/2015] tf: [00:00:00 16/03/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 15/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Packing v2: Changed st: NotStopd id: Incision/Wound #1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [00:00:00 15/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [00:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [00:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [00:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [00:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd
id: Service Type t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [01:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [01:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [22:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [23:00:00 14/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Meds t0: [00:00:00 15/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 120 vu: ml id: Free Water Bolus t0: [00:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 72.5 cv: 4755 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 102.5 cv: 5895 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 52.5 cv: 4415 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 52.5 cv: 7903.01 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/03/2015] el: 3 cg: RN cu: CSRU pv: 52.5 cv: 52.5 ac: 1 ap: none re: 0
id: Service Type t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [02:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 36 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [02:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [01:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: ProBalance t0: [02:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: ProBalance t0: [03:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [03:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [03:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 71.4286 n1: 71.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: RAMP st: NotStopd
id: RSBI (<100) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 41.1765 n1: 41.1765 u1: units st: NotStopd id: RSBI (<200) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 41.1765 n1: 41.1765 u1: units st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 0.51 n1: 0.51 u1: L st: NotStopd
id: Art.pH t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 163 n1: 163 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: SaO2 t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.6 n1: 21.6 rs: Final st: NotStopd id: CaO2 t0: [03:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.112 n1: 13.112 u1: ml/dl st: NotStopd id: WBC t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.6 n1: 21.6 rs: Final st: NotStopd id: Hematocrit t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: RBC t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.15 n1: 3.15 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.6 n1: 21.6 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 15/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [00:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Color/Consist t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 142 n1: 142 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [01:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [02:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [04:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [04:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [03:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [04:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Lactic Acid t0: [04:05:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:05:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: BUN t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Calcium t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:39:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [05:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [05:00:00 15/03/2015] el: 1 ai: 4693 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [05:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [05:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Airway Size t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [06:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: MICU st: NotStopd id: CVP t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 15/03/2015] el: 0 cg: PCT 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 15/03/2015] el: 0 cg: PCT cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 15/03/2015] el: 0 cg: PCT cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 15/03/2015] el: 2 ai: 107 cg: PCT cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 15/03/2015] el: 2 ai: 209 cg: PCT cu: CCU vo: 1 vu: ml id: ProBalance t0: [06:00:00 15/03/2015] el: 1 ai: 216 cg: PCT cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 15/03/2015] el: 1 ai: 1109 cg: PCT cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [06:00:00 15/03/2015] el: 1 ai: 4693 cg: PCT cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [06:00:00 15/03/2015] el: 1 cg: PCT cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 15/03/2015] el: 1 ai: 223 cg: PCT cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 15/03/2015] el: 1 cg: PCT cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 15/03/2015] el: 1 cg: PCT cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 15/03/2015] el: 2 cg: PCT cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [06:00:00 15/03/2015] el: 1 cg: PCT cu: CCU vo: 0 do: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd
id: Art.pH t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.1244 n1: 13.1244 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 167 n1: 167 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [06:30:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: D5W 100.0ml t0: [06:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: HOB t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Skin Care t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [05:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Free Water Bolus t0: [04:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml
id: D5W 250.0ml + 100Uhr Vasopressin + 100Umin Vasopressin t0: [08:00:00 15/03/2015] el: 1 ai: 4693 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 15/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Management t0: [08:00:00 15/03/2015] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Arterial BP Mean t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: ProBalance t0: [08:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 16 vu: ml id: Urine Out Foley t0: [08:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 720 n1: 720 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:30:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: INV#2Chg o/Wire Date t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Care t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Level of Conscious t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 15/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [08:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [09:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [09:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU cv: 2245 ac: 24 ap: none re: 0
id: Art.pH t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 157 n1: 157 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:19:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.34 n1: 7.34 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Therapeutic Bed t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [09:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [11:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: TF Residual t0: [11:00:00 15/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: ProBalance t0: [10:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: ProBalance t0: [11:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [10:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 22 cv: 1313.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 82 cv: 4668.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 60 cv: 1110 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 30 cv: 1121 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 52 cv: 3547.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 52 cv: 11450.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 52 cv: 52 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/03/2015] el: 2 cg: RN cu: CCU pv: 30 cv: 1121 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 1.09 n1: 1.09 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: INV#2Chg o/Wire Date t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Oral Care t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: calprevflg t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 123 n1: 123 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: ProBalance t0: [12:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [12:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Open st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Level of Conscious t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: To Bone v2: No st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 15/03/2015] 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: [14:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [08:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [14:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [15:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [13:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: ProBalance t0: [14:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: ProBalance t0: [15:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [13:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [14:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [15:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: 551 n1: 551 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 15/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: INV#2Chg o/Wire Date t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [13:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Assistance Device t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radiologic Study t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Side Rails t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Stool Color/Consist t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 15/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [16:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [16:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: ProBalance t0: [17:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [17:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [16:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Art.pH t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Code Status t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:55:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Fingerstick Glucose t0: [18:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: Free Water Bolus t0: [18:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [18:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 u1: % rs: Final st: NotStopd
id: BUN t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 80 n1: 80 rs: Final st: NotStopd id: Calcium t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 80 n1: 80 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd
id: Potassium t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:40:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: ETT Mark/Location t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 15/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 15/03/2015] 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 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 15/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 4 vu: ml id: Free Water Bolus t0: [20:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [20:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 16 vu: ml id: Urine Out Foley t0: [20:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 15/03/2015] el: 2 ai: 209 cg: RN cu: CCU vo: 2 vu: ml st: Stopped id: ProBalance t0: [21:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [21:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 15/03/2015] el: 2 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
pi: 4400277 hi: 17598 t0: [22:00:00 15/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4400278 hi: 17598 t0: [22:00:00 15/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4400279 hi: 17598 t0: [08:00:00 15/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [22:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [22:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [22:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Gastric Meds t0: [22:00:00 15/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 50 vu: ml id: Free Water Bolus t0: [22:00:00 15/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml
id: PO/Gastric In Total t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU cv: 2245 ac: 24 ap: none re: 0
id: Art.pH t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: CaO2 t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.143 n1: 13.143 u1: ml/dl st: NotStopd id: Potassium t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 173 n1: 173 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: SaO2 t0: [23:03:00 15/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 16/03/2015] el: 1 cg: RN cu: CCU v1: Neuromusc Block st: NotStopd id: GI Prophylaxis t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/03/2015] 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 15/03/2015] 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 16/03/2015] 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 15/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [21:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 15/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 15/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 15/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [00:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: ProBalance t0: [23:00:00 15/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 15/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [00:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 15/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 80 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 15/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 22 cv: 1313.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 82 cv: 4668.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 1110 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 1121 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 52 cv: 3547.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 52 cv: 11450.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 52 cv: 52 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/03/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 1121 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [01:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [01:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: CaO2 t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.1213 n1: 13.1213 u1: ml/dl st: NotStopd id: Potassium t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 166 n1: 166 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: SaO2 t0: [01:29:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [02:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [03:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [03:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 16/03/2015] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 16/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Free Water Bolus t0: [00:00:00 16/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: Free Water Bolus t0: [02:00:00 16/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: Free Water Bolus t0: [04:00:00 16/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [04:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [04:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 177 n1: 177 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: SaO2 t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Spon RR (Mech.) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 0.5 n1: 0.5 u1: L st: NotStopd
id: WBC (4-11,000) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: CaO2 t0: [04:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 13.6807 n1: 13.6807 u1: ml/dl st: NotStopd id: WBC t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: Hematocrit t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: RBC t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 3.27 n1: 3.27 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd
id: BUN t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 rs: Final st: NotStopd id: Calcium t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:16:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: ETT Mark/Location t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 25 n1: 25 st: NotStopd id: Resp Rate (Total) t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: 770 n1: 770 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 16/03/2015] el: 0 cg: RRt cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 16/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 50 vu: ml id: Free Water Bolus t0: [06:00:00 16/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: ProBalance t0: [05:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: ProBalance t0: [06:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [06:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 1300 ac: 24 ap: none re: 0
id: PresSoreStage/Heal#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: To Bone v2: Other/Remarks st: NotStopd id: PressSore Drng/Amt#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: PressSoreWoundBase#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Pressure Sore Odor#1 t0: [04:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd
id: ETT Mark/Location t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 798 n1: 798 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:30:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: HOB t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Activity t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Level of Conscious t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Oral Care t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [08:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 17 vu: ml id: Urine Out Foley t0: [08:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [07:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Range of Motion t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Position Change t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Reason For Restraint t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Removed x 5 Mins t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Restraint Location t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Restraints Evaluated t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Pt./Family Informed t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd
id: Potassium t0: [09:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Potassium (3.5-5.3) t0: [09:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4401145 hi: 17598 t0: [08:00:00 16/03/2015] tf: [12:00:00 18/03/2015] 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: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [09:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [09:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:25:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Follows Commands t0: [10:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Response R/L t0: [10:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Size R/L t0: [10:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Responds to Stimuli t0: [10:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: ETT Mark/Location t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Mean Airway Pressure t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Total PEEP Level t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 16/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GCS Total t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Motor Response t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Rate t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [10:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [10:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [10:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:58:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [11:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [11:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 910.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 3590.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 1380 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 1420 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 2170.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 13621 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/03/2015] el: 2 cg: RN cu: CCU cv: 1420 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 16/03/2015] el: 0 cg: CoWker cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Resp Rate (Total) t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Total PEEP Level t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Procedural st: NotStopd id: Pain Location t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [12:00:00 16/03/2015] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 16/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [08:00:00 16/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [13:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 17 vu: ml id: Urine Out Foley t0: [13:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Lactic Acid t0: [12:56:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:56:00 16/03/2015] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [12:00:00 16/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [14:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [14:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: Service Type t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 16/03/2015] 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 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [16:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [15:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Activity t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Level of Conscious t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [11:00:00 16/03/2015] el: 0 cg: RN cu: CCU st: NotStopd id: Oral Care t0: [12:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Procedural st: NotStopd id: Pain Location t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [16:00:00 16/03/2015] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [17:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [16:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [17:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: GI#1 Tube PlaceCheck t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Bowel Sounds t0: [16:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: ETT Mark/Location t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 15.6 n1: 15.6 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 639 n1: 639 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4402940 hi: 17598 t0: [18:00:00 16/03/2015] tf: [07:00:00 17/03/2015] mn: Hydrocortisone Na Succ. pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xu: Enter on Label
id: Fingerstick Glucose t0: [17:00:00 16/03/2015] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [18:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Site Appear #1 t0: [18:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Delivery Device t0: [18:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) t0: [18:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Packed RBC's t0: [18:00:00 16/03/2015] el: 2 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 16/03/2015] el: 2 ai: 209 cg: -1 cu: CCU vo: 0 st: D/C'd id: Pre-Admission Output Pre-Admission Output t0: [18:00:00 16/03/2015] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 16/03/2015] 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: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 16/03/2015] 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 16/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [18:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 16/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 16/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [16:00:00 16/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [16:00:00 16/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 16/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [19:00:00 16/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 16/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.5 vu: ml id: Urine Out Foley t0: [19:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 16/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [19:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 85 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 16/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV #1 Reason DC'D t0: [20:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [20:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [20:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [20:00:00 16/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd