This log is also available as text (109cc.txt) and as a (binary) annotation file (109cc.log).
Generated: Thursday, 23-Apr-2009 00:34:54 EDT
(All dates below are surrogates.)
id: Service Type t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] 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 22/08/2018] el: 0 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 28.9275 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Arterial BP t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] 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: [18:30:00 22/08/2018] 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: [17:30:00 22/08/2018] 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: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Fentanyl t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 35.6 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 22.25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.0952 n1: 18.0952 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: Apnea Time Interval t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 st: NotStopd id: Ve High t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 375 n1: 375 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 22.25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.4996 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 9.99915 vu: ml id: Nepro t0: [16:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [17:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Art.pH t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] 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 22/08/2018] el: 0 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 22.47 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.988 vu: ml id: Gastric Meds t0: [20:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [21:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 130 vu: ml id: Nepro t0: [21:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: Urine Out Foley t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/08/2018] el: 3 cg: RN cu: CSRU cv: 160 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] 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 22/08/2018] el: 0 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.988 vu: ml id: Nepro t0: [22:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV #3 Insert Date t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Site/Size t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #3 t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] 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 22/08/2018] el: 0 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.741 vu: ml id: Nepro t0: [23:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 22/08/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 80 ac: 24 ap: none re: 0
id: Dopamine t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 185 n1: 185 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 160 vu: ml id: TF Residual t0: [20:00:00 22/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.741 vu: ml id: Nepro t0: [00:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 245 ac: 24 ap: none re: 0
id: bath t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.494 vu: ml id: .9% Normal Saline 250.0ml t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Potassium t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Sodium t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Carbon Dioxide t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 29.2308 n1: 29.2308 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: I:E Ratio t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Mean Airway Pressure t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Pressure Support t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Sensitivity-Vent t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.494 vu: ml id: .9% Normal Saline 250.0ml t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Dopamine t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] 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: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Urine Source t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [02:30:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 300 vu: ml
id: Fentanyl t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU cv: 380 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Arterial BP t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Source t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [03:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Oral Cavity t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd
id: Art.pH t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: WBC t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Hematocrit t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 281 n1: 281 rs: Final st: NotStopd id: RBC t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Tube In st: NotStopd id: SpO2 t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Drainage t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Negative v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [05:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CT #1 Crepitus t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd
id: BUN t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 176 n1: 176 rs: Final st: NotStopd id: Magnesium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 176 n1: 176 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: INR t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 23.5 n1: 23.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 23.5 n1: 23.5 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [06:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Type t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Radiologic Study t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Procedures t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Pain Present t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] 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 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Suction Amount t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [07:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [07:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 85 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: Gastric Meds t0: [07:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position Change t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Therapeutic Bed t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: CT #1 Crepitus t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Fluctuate/Leak t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd
id: Urine Out Foley t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 360 n1: 360 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Precautions t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] 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: [08:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: calprevflg t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [08:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HR Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd
id: Service Type t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 33.705 vu: ml id: Gastric Meds t0: [10:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:05:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:05:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Dopamine t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Arterial BP t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: TF Residual t0: [10:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vu: ml st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CSRU am: 100 du: Uhr rt: IV Drip
id: Service Type t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CSRU ra: 150 ru: ml/hr io: .9% Normal Saline el: 2 cg: RN cu: CSRU ra: 10 ru: ml/hr io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 cg: RN cu: CSRU ra: 1 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 6.55375 vu: ml id: Nepro t0: [11:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [11:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [11:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Triglyceride t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Triglyceride (0-200) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [12:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [12:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: Nepro t0: [12:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
id: Insulin t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [12:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Arterial BP t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [13:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: Nepro t0: [13:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Fingerstick Glucose t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Insulin t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [13:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Eye Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Back Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [15:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 500 vu: ml id: .9% Normal Saline t0: [15:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 23/08/2018] el: 1 ai: 189 cg: PCT cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [15:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 23/08/2018] el: 1 ai: 209 cg: PCT cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: CVP t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Dopamine t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU cv: 10 ac: 24 ap: none re: 0
id: bath t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done id: Skin Care t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done st: NotStopd id: Back Care t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done st: NotStopd
id: Stool Out Rectal Tube t0: [16:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [16:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vu: ml es: Large
id: Compliance (40-60ml) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: Compliance (40-60ml) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: High Resp. Rate t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: I:E Ratio t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: PEEP Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Apnea Time Interval t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Ve High t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 395 n1: 395 u1: ml/B st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Mode t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: Waveform-Vent t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Fentanyl t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [17:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline t0: [17:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [16:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Urine Out Foley t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [18:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Nepro t0: [17:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [18:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml
id: Midazolam t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [19:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [19:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 23/08/2018] el: 1 ai: 209 cg: PCT cu: CSRU vo: 3 vu: ml id: Stool Out Rectal Tube t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 23/08/2018] el: 3 cg: PCT cu: CSRU cv: 650 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Plateau-Off t0: [20:00:00 23/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rhythm t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [20:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [20:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [20:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 6 vu: ml
id: Service Type t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [21:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: MDI #2 (Puff/Drug) t0: [21:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [22:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [22:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [19:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] el: 0 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [23:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 203.5 cv: 7987.81 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 228.5 cv: 8612.8 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 1695 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 6257.81 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 15405.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 183.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 2355 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [00:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [00:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Arterial BP t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: calprevflg t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [01:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [02:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Position Change t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [03:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 6140.75 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 82 cv: 6740.75 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 600 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 1655 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 4968.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 20374 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 57 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 1772 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [04:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [04:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Lactic Acid t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Ionized Calcium t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.18 n1: 1.18 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: WBC t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Hematocrit t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 194 n1: 194 rs: Final st: NotStopd id: RBC t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.89 n1: 2.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: INR t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: PTT(22-35) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 rs: Final st: NotStopd
id: BUN t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 24/08/2018] el: 1 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: MDI #2 (Puff/Drug) t0: [05:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [05:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [05:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [06:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [06:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: Nepro t0: [05:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [06:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: Stool Out Rectal Tube t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Chest Tubes Left Pleural 1 t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 24/08/2018] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 24/08/2018] el: 3 cg: RN cu: CSRU cv: 17 ac: 24 ap: none re: 0
id: CT #1 Fluctuate/Leak t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd
id: ETT Mark/Location t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: MDI #2 (Puff/Drug) t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: White v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: CT #1 Fluctuate/Leak t0: [08:00:00 24/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [08:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] 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: [08:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [07:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [07:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [08:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [08:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [07:44:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [09:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [10:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [10:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [10:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [11:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [10:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Handout t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Learner t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Method t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Readiness t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [12:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [12:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [13:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [14:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [14:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [14:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [12:20:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] 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: [16:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [15:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [15:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [16:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [16:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [16:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 170 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [17:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [18:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ventilator Mode t0: [16:00:00 24/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd
id: .9% Normal Saline t0: [19:00:00 24/08/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Drainage t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [19:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [20:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: Nepro t0: [20:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 388 n1: 388 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Temperature C (calc) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Education Barrier t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd
id: Chest Tube Site #1 t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: GI Prophylaxis t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LUL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: RLL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Service Type t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 23.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7.5 vu: ml
id: Fentanyl t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [20:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml
id: Alarms t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Fentanyl t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Chest Tube Site #1 t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Diet Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Respiratory Pattern t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: CT #1 Crepitus t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Suction Amount t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: Service Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [22:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd
id: .9% Normal Saline t0: [23:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 410 n1: 410 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done id: Pain Assess Method t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [00:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Precautions t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Turn t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tubes Left Pleural 1 t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 13 vu: ml
id: Chest Tube Out Total t0: [23:00:00 25/08/2018] el: 3 cg: RN cu: CSRU cv: 28 ac: 24 ap: none re: 0
id: ETT Position Change t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: None st: NotStopd id: calprevflg t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 3968 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 82 cv: 4688 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 600 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 3240 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: 1420 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: 21794 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: -18 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 3268 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Pressure Support t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [04:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [00:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: TF Residual t0: [04:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: WBC t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Hematocrit t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.1 n1: 26.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 188 n1: 188 rs: Final st: NotStopd id: RBC t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: PT t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: INR t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 rs: Final st: NotStopd
id: BUN t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Art.pH t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [05:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Glucose t0: [06:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Glucose (70-105) t0: [06:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Urine Out Foley t0: [06:00:00 25/08/2018] el: 1 cg: CoWkr cu: CSRU vo: 80 vu: ml
id: Service Type t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 398 n1: 398 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Risk for Falls t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] 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: [08:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Skin Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [07:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 25/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [07:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [08:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd id: Glucose (70-105) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Insulin t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [10:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Mean Airway Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: PEEP Set t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd
id: Service Type t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [12:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [12:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [14:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [14:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [14:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd id: Glucose (70-105) t0: [14:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [16:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd id: Glucose (70-105) t0: [16:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Art.pH t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:12:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 25/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [16:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [16:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 415 n1: 415 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 25/08/2018] 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 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: calprevflg t0: [17:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [18:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [18:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [17:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [18:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [17:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tubes Left Pleural 1 t0: [18:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Glucose t0: [18:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd id: Glucose (70-105) t0: [18:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [19:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [19:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Less Restrict Meas. t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [19:30:00 25/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Suction Amount t0: [19:30:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: H2O Seal st: NotStopd
id: Urine Out Foley t0: [19:15:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml
id: Fentanyl t0: [19:30:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:30:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:30:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temperature C (calc) t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd
id: .9% Normal Saline t0: [20:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: TF Residual t0: [20:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [20:00:00 25/08/2018] el: 1 ai: 189 cg: Rn cu: CSRU vo: 60 vu: ml
id: Glucose t0: [20:00:00 25/08/2018] el: 0 cg: CoWork cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd id: Glucose (70-105) t0: [20:00:00 25/08/2018] el: 0 cg: CoWork cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 25/08/2018] el: 3 cg: CoWork cu: CSRU cv: 120 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Temp. Site t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [20:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [21:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:30:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 56.3333 n1: 56.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 25/08/2018] el: 0 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [22:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Glucose t0: [22:00:00 25/08/2018] el: 0 cg: CoWork cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd id: Glucose (70-105) t0: [22:00:00 25/08/2018] el: 0 cg: CoWork cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: NBP t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [23:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [23:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [19:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Airway Size t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 62.6667 n1: 62.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: None st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [00:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [00:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Chest Tubes Left Pleural 1 t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 26/08/2018] el: 3 cg: Rn cu: CSRU cv: 5 ac: 24 ap: none re: 0
id: Alarms t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Skin Integrity t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd
id: Compliance (40-60ml) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.0952 n1: 18.0952 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 350 n1: 350 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:25:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Type t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd
id: Service Type t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [01:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [01:00:00 26/08/2018] el: 0 cg: CoWork cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd id: Glucose (70-105) t0: [01:00:00 26/08/2018] el: 0 cg: CoWork cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [01:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: calprevflg t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: bath t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: DONE id: Service Type t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 62.6667 n1: 62.6667 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 57 cv: 3378 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 97 cv: 4098 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 450 cv: 450 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 660 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 450 cv: 2535 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: -353 cv: 1558 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: -353 cv: 23352 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: -353 cv: -353 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU pv: 450 cv: 2540 ac: 24 ap: none re: 0
id: Art.pH t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:41:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: WBC t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Hematocrit t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: RBC t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.76 n1: 2.76 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 81 n1: 81 rs: Manual st: NotStopd id: Diet Type t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [22:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [23:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sinus Brady st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 26/08/2018] el: 0 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 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 81 n1: 81 rs: Manual st: NotStopd id: CT #1 Crepitus t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [04:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 26/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: PT t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: INR t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 50.8 n1: 50.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: PTT(22-35) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 50.8 n1: 50.8 rs: Final st: NotStopd
id: BUN t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Magnesium t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Glucose t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:19:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 58.6667 n1: 58.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 26/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 26/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 26/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Glucose t0: [06:00:00 26/08/2018] el: 0 cg: CoWork cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd id: Glucose (70-105) t0: [06:00:00 26/08/2018] el: 0 cg: CoWork cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Position t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [07:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [07:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [07:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Glucose t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd id: Glucose (70-105) t0: [05:00:00 26/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: Glucose t0: [08:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd id: Glucose (70-105) t0: [08:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 26/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 58.3333 n1: 58.3333 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [08:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [08:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline t0: [08:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Set) t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Glucose t0: [09:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd id: Glucose (70-105) t0: [09:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Service Type t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [10:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [10:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [09:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Glucose t0: [10:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd id: Glucose (70-105) t0: [10:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd
id: PEEP Set t0: [10:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [10:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [10:25:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [11:00:00 26/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Cavity t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [11:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [11:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 26/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 26/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 26/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/08/2018] el: 0 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [12:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Glucose t0: [12:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 383 n1: 383 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:10:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [14:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Mean Airway Pressure t0: [14:53:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: PEEP Set t0: [14:53:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [14:53:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [14:53:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd
id: Service Type t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 207 n1: 207 rs: Manual st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 207 n1: 207 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [15:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Chest Tube Site #1 t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 26/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: RLL Lung Sounds t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [13:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: Cuff Pressure-Airway t0: [15:40:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd
id: Compliance (40-60ml) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 384 n1: 384 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 26/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Glucose t0: [17:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:00:00 26/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: IV #2 Insert Date t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/08/2018] 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: [17:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [17:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [18:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [17:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [18:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [16:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [17:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml
id: Art.pH t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:18:00 26/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 26/08/2018] el: 0 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [19:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [19:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [19:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Less Restrict Meas. t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 26/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Coping st: NotStopd id: Eye Care t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [20:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 26/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [20:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 26/08/2018] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/08/2018] el: 0 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/08/2018] 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 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Glucose t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd id: Glucose (70-105) t0: [20:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Urine Out Foley t0: [20:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Urine Out Foley t0: [21:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Less Restrict Meas. t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: calprevflg t0: [23:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 26/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 26/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 26/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [23:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 26/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: DONE id: Pain Assess Method t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd id: Glucose t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Diet Type t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Position t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd id: Glucose (70-105) t0: [22:00:00 26/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: CT #1 Crepitus t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [00:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 16.5217 n1: 16.5217 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 395 n1: 395 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [01:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Less Restrict Meas. t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Position t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/08/2018] el: 0 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [02:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 2680 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 2730 ac: 24 ap: none re: 0
id: Art.pH t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Glucose t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:09:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: WBC t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Hematocrit t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: RBC t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Position t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [02:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Sputum Source/Amt t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [04:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: INR t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd id: Differential-Bands t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: PTT(22-35) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd
id: BUN t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Albumin t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Calcium t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: BUN (6-20) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:56:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Urine Out Foley t0: [04:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Chest Tubes Left Pleural 1 t0: [05:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Glucose t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/08/2018] el: 0 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: calprevflg t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [04:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Glucose (70-105) t0: [06:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [06:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [06:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Dressing t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [08:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: TF Residual t0: [08:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 27/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 120 vu: ml id: Nepro t0: [08:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml
id: Fentanyl t0: [08:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0
id: Service Type t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 rs: Manual st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [07:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 rs: Manual st: NotStopd
id: Fentanyl t0: [07:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [07:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [08:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [09:00:00 27/08/2018] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/08/2018] el: 0 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [09:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [09:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd id: Glucose (70-105) t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Respiratory Rate Set t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: Ventilator Type t0: [09:30:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 rs: Manual st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/08/2018] el: 0 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [10:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [10:45:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [10:45:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: CT #1 Drainage t0: [11:00:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: High Resp. Rate t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.5 n1: 18.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: PEEP Set t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Apnea Time Interval t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Ve High t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:10:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [11:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd id: Diet Type t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd id: Braden Activity t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [12:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [12:01:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: .9% Normal Saline t0: [12:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [12:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Midazolam io: .9% Normal Saline 100.0ml + 100mghr Midazolam el: 101 cg: RN cu: CSRU am: 100 du: mghr rt: IV Drip
id: Service Type t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [13:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [13:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [13:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [09:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [14:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Art.pH t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:27:00 27/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 27/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 10 n2: 10 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [16:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [16:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [16:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.0952 n1: 18.0952 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 410 n1: 410 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Ventilator Mode t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 27/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [17:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [17:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [17:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [10:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [11:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [12:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [13:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [14:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [15:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [16:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [17:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [18:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [18:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Nepro t0: [18:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml
id: Fingerstick Glucose t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [19:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [19:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [19:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [19:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [20:00:00 27/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 186 n1: 186 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 27/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [20:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TCPCV Fixed I Time t0: [21:00:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: TCPCV I:E Ratio t0: [21:00:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: TCPCV Insp. Pressure t0: [21:00:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: TCPCV Insp. Time t0: [21:00:00 27/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Fingerstick Glucose t0: [21:00:00 27/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [21:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 27/08/2018] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/08/2018] 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 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 27/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 27/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 27/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 27/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [23:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 27/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 27/08/2018] el: 1 cg: RN cu: CSRU 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 27/08/2018] el: 3 cg: RN cu: CSRU pv: 55 cv: 3210.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 80 cv: 4170.5 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 840 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 35 cv: 1440.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 35 cv: 24792.5 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/08/2018] el: 3 cg: RN cu: CSRU pv: 35 cv: 35 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 28/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.2 n1: 15.2 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 387 n1: 387 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:15:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 28/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [20:00:00 27/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [00:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [00:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [01:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [01:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: Urine Out Foley t0: [01:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [00:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Cap Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Fingerstick Glucose t0: [01:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 rs: Manual st: NotStopd
id: Insulin t0: [01:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [02:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: bath t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: INV#1 Cap Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 28/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [04:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 1 vu: ml st: Stopped
id: Insulin t0: [04:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: WBC (4-11,000) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: WBC t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Hematocrit t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: RBC t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.12 n1: 3.12 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: PT t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: INR t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 rs: Final st: NotStopd
id: BUN t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Albumin t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Calcium t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 rs: Final st: NotStopd id: Magnesium t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: BUN (6-20) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:21:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI Not Completed t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 28/08/2018] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Respiratory Rate t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Fingerstick Glucose t0: [05:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [06:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [06:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 190 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Apnea Time Interval t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 28/08/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Compliance (40-60ml) t0: [04:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 14.6154 n1: 14.6154 u1: ml/cmH st: NotStopd id: PEEP Set t0: [04:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Pain Present t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/08/2018] 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: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [08:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [08:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml
id: Fentanyl t0: [07:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Position Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Reason For Restraint t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Behavior t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: Cuff Pressure-Airway t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Mean Airway Pressure t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Set) t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Ventilator Type t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 14.0741 n1: 14.0741 u1: ml/cmH st: NotStopd id: Compliance (40-60ml) t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.5714 n1: 18.5714 u1: ml/cmH st: NotStopd id: PEEP Set t0: [08:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [09:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Family Communication t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Oral Care t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [09:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [10:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 28/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro t0: [09:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [10:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fingerstick Glucose t0: [10:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Fentanyl t0: [09:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Resp. Rate t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: PEEP Set t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Ventilator Mode t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:51:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: ETT Mark/Location t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: FiO2 Set t0: [11:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Airway Size t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Resp Rate (Total) t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 28/08/2018] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [12:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:30:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [12:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Position Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd
id: GI#1 Tube PlaceCheck t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Bowel Sounds t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Changed st: NotStopd
id: Dorsal PedPulse R/L t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd
id: Fingerstick Glucose t0: [13:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: bath t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/08/2018] 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 28/08/2018] el: 0 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: .9% Normal Saline t0: [13:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [12:00:00 28/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [13:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [13:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: IV #3 Reason DC'D t0: [15:00:00 28/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/08/2018] 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: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/08/2018] 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: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [15:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [14:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [15:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Less Restrict Meas. t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Position Change t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Cavity t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Restraint Location t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Behavior t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Pain Present t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Temp. Site t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Verbal Response t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [16:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/08/2018] 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 28/08/2018] el: 0 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: SpO2 t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [17:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 28/08/2018] el: 0 cg: Co-wor cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [19:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd
id: Pressure Support t0: [16:00:00 28/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd
id: Compliance (40-60ml) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 16.5217 n1: 16.5217 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [19:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:27:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: Minute Volume(Obser) t0: [21:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [21:00:00 28/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/08/2018] el: 0 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Restraint Location t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Moisture t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: Nepro t0: [21:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: Urine Out Foley t0: [21:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/08/2018] 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 28/08/2018] el: 0 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Procedures t0: [21:30:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Urine Culture st: NotStopd id: Procedures t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Reason For Restraint t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU cv: 280 ac: 24 ap: none re: 0
id: Art.pH t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:13:00 28/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/08/2018] 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 28/08/2018] el: 0 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/08/2018] 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 28/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 28/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 28/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [23:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 28/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 550 cv: 3153.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 590 cv: 4203.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 110 cv: 110 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 770 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 110 cv: 4390 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 480 cv: -186.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 480 cv: 24606 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 480 cv: 480 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/08/2018] el: 3 cg: RN cu: CSRU pv: 110 cv: 4390 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 16.1538 n1: 16.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 13.5 n1: 13.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [23:00:00 28/08/2018] el: 0 cg: RRt cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 29/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 182 n1: 182 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 28/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [23:00:00 28/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Arterial BP t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [02:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [02:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: WBC t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Hematocrit t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: RBC t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/08/2018] 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 29/08/2018] el: 0 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 27.976 cv: 2661.21 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 67.976 cv: 3761.21 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 5180 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: -32.024 cv: -1418.79 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: -32.024 cv: 23187.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: -32.024 cv: -32.024 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 5180 ac: 24 ap: none re: 0
id: BUN t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:07:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd
id: Fentanyl t0: [03:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 13.5484 n1: 13.5484 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [04:00:00 29/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 29/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/08/2018] 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 29/08/2018] el: 0 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Dressing t0: [04:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 420 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 29/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [06:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Radiologic Study t0: [00:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Service Type t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [07:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [07:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 29/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Dressing t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [08:00:00 29/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 29/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 80 vu: ml id: Nepro t0: [08:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [08:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 35.7 n1: 35.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 440 n1: 440 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:30:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [10:30:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:30:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [10:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:30:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml
id: Fentanyl t0: [09:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Arterial BP t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:45:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml
id: Fentanyl t0: [09:45:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [11:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [11:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Arterial BP t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:20:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 3.33333 vu: ml id: Nepro t0: [11:20:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 13.3333 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:20:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:20:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.33333 vu: ml
id: Fentanyl t0: [11:20:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:20:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [11:20:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 29/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [11:00:00 29/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Dressing t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 6.66667 vu: ml id: Nepro t0: [12:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 26.6667 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.66667 vu: ml
id: Propofol t0: [12:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Arterial BP t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 29/08/2018] 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: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:25:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:40:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:25:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:40:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:40:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [11:25:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [11:40:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [11:20:00 29/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 35.6 n1: 35.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 425 n1: 425 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: I:E Ratio t0: [08:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd id: I:E Ratio t0: [12:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd
id: Service Type t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [13:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [14:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [14:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Service Type t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Precautions t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:30:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [13:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:30:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [15:00:00 29/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [11:00:00 29/08/2018] el: 0 cg: RN cu: CSRU st: NotStopd id: Side Rails t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [14:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd id: Bowel Sounds t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Dressing t0: [15:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 190 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [15:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [15:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd id: Airway Size t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 408 n1: 408 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [16:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 420 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [18:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [17:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [17:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [17:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Propofol t0: [16:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:25:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.30675 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.494 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5.6175 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.741 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.988 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.235 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped
id: Fingerstick Glucose t0: [18:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Service Type t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Arterial BP t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [18:15:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Urine Out Foley t0: [18:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Less Restrict Meas. t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [20:00:00 29/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/08/2018] 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 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Bowel Sounds t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Dressing t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [20:00:00 29/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.9202 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.482 vu: ml id: Gastric Meds t0: [20:00:00 29/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [19:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [20:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [20:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [19:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 29/08/2018] el: 3 cg: RN cu: CSRU cv: 140 ac: 24 ap: none re: 0
id: Alarms t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Temp. Site t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Compliance (40-60ml) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.3846 n1: 15.3846 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: I:E Ratio t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:50:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [21:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [21:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Ionized Calcium t0: [21:38:00 29/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.07 n1: 1.07 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [22:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Propofol t0: [22:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Very Agitated st: NotStopd id: Risk for Falls t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: SpO2 t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:15:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [22:15:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: HOB t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: FiO2 Set t0: [22:55:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Fentanyl t0: [22:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [22:55:00 29/08/2018] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Service Type t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [23:00:00 29/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 29/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [23:00:00 29/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [00:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [00:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 30/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Temp. Site t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd
id: Art.pH t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:35:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 16.1538 n1: 16.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: I:E Ratio t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.5 n1: 13.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 419 n1: 419 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:30:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [01:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [01:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [01:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [02:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [02:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 30/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.482 vu: ml id: Nepro t0: [03:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [03:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [03:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [03:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Total Hourly Output t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 400 cv: 400 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 400 cv: 3170 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 400 cv: 3170 ac: 24 ap: none re: 0
id: IV Infusion In Total t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 44.217 cv: 2010.34 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: 84.217 cv: 3020.34 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: -315.783 cv: -149.66 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: -315.783 cv: 23037.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU pv: -315.783 cv: -315.783 ac: 1 ap: none re: 0
id: Art.pH t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:30:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Stool Out Rectal Tube t0: [04:00:00 30/08/2018] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: WBC (4-11,000) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: WBC t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Hematocrit t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: RBC t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.76 n1: 2.76 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Oral Cavity t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Orientation t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Previous Weight t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/08/2018] 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 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [02:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 29/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Cap Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.33194 n1: 1.33194 u1: m2 st: NotStopd id: BSA - Metric t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.55262 n1: 1.55262 u1: m2 st: NotStopd id: Verbal Response t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Weight Change t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Behavior t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Behavior t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Crepitus t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Dressing t0: [00:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Dressing t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Changed st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.482 vu: ml id: Nepro t0: [04:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [04:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [04:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PT t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: INR t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: PTT(22-35) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 456 n1: 456 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:15:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.482 vu: ml id: Nepro t0: [05:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Propofol t0: [05:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Respiratory Rate t0: [03:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd
id: Fentanyl t0: [05:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [05:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Arterial BP t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [04:00:00 30/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.482 vu: ml id: Nepro t0: [06:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [06:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: HOB t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Art.pH t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:18:00 30/08/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [07:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [07:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [07:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [07:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.976 vu: ml id: Nepro t0: [08:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [08:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: CVP t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: Propofol t0: [08:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 45 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Activity Tolerance t0: [08:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32.3077 n1: 32.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd id: Airway Size t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 15.2 n1: 15.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 445 n1: 445 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [09:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Nepro t0: [09:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [09:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [09:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 45 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Nepro t0: [10:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [10:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [10:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Arterial BP t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [11:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [11:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [11:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [11:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 30/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd id: Airway Size t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 17.3 n1: 17.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 30/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/08/2018] 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 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [12:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 420 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [12:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [12:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Eye Care t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [13:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.47 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.47 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [13:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [14:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [15:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [13:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [13:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [15:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 30/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 30/08/2018] 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 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [14:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [16:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [16:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [16:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [16:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [17:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [17:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [17:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [17:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1.7 n1: 1.7 st: NotStopd id: Airway Size t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 472 n1: 472 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 30/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 112 n1: 112 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [18:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [18:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [18:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: INV Line#1 Type/Site t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 30/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/08/2018] 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 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Gastric Meds t0: [20:00:00 30/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [20:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [20:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [20:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 30/08/2018] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.2609 n1: 18.2609 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:15:00 30/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [21:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [22:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [22:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [22:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [23:00:00 30/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 30/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [23:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [23:00:00 30/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 31/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 92 n1: 92 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 422 n1: 422 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:10:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 31/08/2018] 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 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [00:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [00:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [00:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [01:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [01:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [02:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [02:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 44.217 cv: 1883.21 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 84.217 cv: 2843.21 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 300 cv: 8290 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: -215.783 cv: -5446.79 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: -215.783 cv: 17590.8 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: -215.783 cv: -215.783 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/08/2018] el: 3 cg: RN cu: CSRU pv: 300 cv: 8290 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [02:45:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:45:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: bath t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 30/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [03:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [04:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [04:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 17.5 n1: 17.5 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 403 n1: 403 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [05:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [05:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [05:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:21:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: WBC t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Hematocrit t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25.1 n1: 25.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: RBC t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.84 n1: 2.84 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: PT t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: INR t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd
id: PTT t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.2 n1: 28.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.2 n1: 28.2 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 31/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Urine Out Foley t0: [06:00:00 31/08/2018] el: 1 cg: CoWkr cu: CSRU vo: 100 vu: ml
id: BUN t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Albumin t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Calcium t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: BUN (6-20) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd
id: Urine Out Foley t0: [06:30:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Less Restrict Meas. t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Airway Size t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LUL Lung Sounds t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 31/08/2018] 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 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate Set t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Turn t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml nb: 1 id: Nepro t0: [07:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [06:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [07:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 16.7 n1: 16.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 460 n1: 460 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Oral Care t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 31/08/2018] 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 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [08:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [08:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [08:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 484 n1: 484 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [07:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Assistance Device t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: INV#1 Cap Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Cap Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Back Care t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [10:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [09:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [09:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [10:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [11:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Arterial BP t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Ventilator Type t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [12:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [12:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [11:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 900 vu: ml id: Urine Out Foley t0: [12:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [12:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [12:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 31/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Tank A psi. t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Tidal Volume (Spont) t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Source/Amt t0: [13:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Service Type t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Assistance Device t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 820 vu: ml
id: Fentanyl t0: [13:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [13:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Arterial BP t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Ventilator Type t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [14:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [14:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [14:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [14:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:14:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [15:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [15:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [15:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [15:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Abdominal Assessment t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [13:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Urine Source t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: HOB t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: Daily Wake Up t0: [08:00:00 31/08/2018] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: Daily Wake Up t0: [12:00:00 31/08/2018] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd
id: High Insp. Pressure t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 84 n1: 84 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:7 st: NotStopd id: Airway Size t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [16:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [17:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [16:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [17:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [16:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [16:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: INV Line#1 Type/Site t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Oral Care t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Skin Care t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Back Care t0: [15:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 31/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Arterial BP t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [18:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [18:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [18:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [18:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 31/08/2018] 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 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [20:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [19:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [19:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 31/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 31/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 31/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [21:00:00 31/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [21:00:00 31/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 31/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [21:00:00 31/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 31/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [21:00:00 31/08/2018] el: 1 cg: Rn cu: CSRU vo: 520 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 31/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 2 vu: ml
id: ETT Mark/Location t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: I:E Ratio t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Minute Volume(Obser) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10.85 n1: 10.85 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 427 n1: 427 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 22.1053 n1: 22.1053 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: PEEP Set t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Ve High t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:45:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: FiO2 Set t0: [22:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Service Type t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [22:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [22:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [22:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [22:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:09:00 31/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 01/09/2018] el: 0 cg: CoWork cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/09/2018] 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 31/08/2018] 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 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 31/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [00:00:00 01/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 31/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [00:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [23:00:00 31/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [23:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [23:00:00 31/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [00:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [00:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:00:00 31/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 18.2609 n1: 18.2609 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/09/2018] 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 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [02:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [01:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [03:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 87.5 n1: 87.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/09/2018] 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 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [04:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [04:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [04:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CT #1 Crepitus t0: [04:00:00 01/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: CT #1 Dressing t0: [04:00:00 01/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: WBC (4-11,000) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: WBC t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Hematocrit t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.5 n1: 28.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: RBC t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [05:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [05:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [05:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [05:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24.7059 n1: 24.7059 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Size t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Intubation Date t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Previous WeightF t0: [12:00:00 31/08/2018] el: 0 cg: RRT cu: CSRU u1: kg st: NotStopd id: Auto-PEEP Level t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: PT t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: INR t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: PTT t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd
id: BUN t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:17:00 01/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [06:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [06:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 01/09/2018] el: 0 cg: CoWork cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Pattern t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate Set t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 419 n1: 419 u1: ml/B st: NotStopd id: Turn t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [07:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [07:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [07:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [08:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [08:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [08:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Urine Out Foley t0: [08:30:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 46.6667 n1: 46.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 467 n1: 467 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bed as Chair st: NotStopd id: Arterial BP t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Urine Color/Appear t0: [07:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [09:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [09:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [09:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [09:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Sinus Tachy st: NotStopd id: High Resp. Rate t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: PEEP Set t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ve High t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: SpO2 t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Ventilator Mode t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [10:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/09/2018] el: 2 ai: 107 cg: RRT cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/09/2018] el: 2 ai: 107 cg: RRT cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 24.717 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [10:00:00 01/09/2018] el: 1 ai: 112 cg: RRT cu: CSRU vo: 40 vu: ml id: Nepro t0: [11:00:00 01/09/2018] el: 1 ai: 112 cg: RRT cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 01/09/2018] el: 1 ai: 107 cg: RRT cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [10:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [10:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [11:00:00 01/09/2018] el: 1 cg: RRT cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 01/09/2018] el: 0 cg: CoWork cu: CSRU v1: 220 n1: 220 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/09/2018] 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 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [12:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [11:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [12:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 230 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [12:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [12:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: High Resp. Rate t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 17.6 n1: 17.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Auto-PEEP Level t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 587 n1: 587 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Arterial BP t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Ventilator Type t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [13:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [14:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [13:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [13:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: PEEP Set t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Ventilator Type t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [15:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [15:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rhythm t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Airway Size t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [16:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [14:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [15:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [16:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml
id: Pain Level/Response t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Gastric Meds t0: [09:00:00 01/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 150 vu: ml
id: High Resp. Rate t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Auto-PEEP Level t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ve High t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 549 n1: 549 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Fentanyl t0: [14:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: PEEP Set t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 602 n1: 602 u1: ml/B st: NotStopd id: Ventilator Type t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [17:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 230 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [17:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [17:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Arterial BP t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [16:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: PEEP Set t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: SpO2 t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Spont) t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 564 n1: 564 u1: ml/B st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Ventilator Type t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [18:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [18:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [18:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [18:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [20:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [20:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [20:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 01/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Arterial BP t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Ventilator Type t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [21:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:15:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [21:00:00 01/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 1050 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 01/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [21:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:15:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:15:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [21:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [21:15:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 2555.27 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 880 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 7720 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 7720 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 02/09/2018] el: 0 cg: CoWkr cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Laceration st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Prone st: NotStopd id: Position t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/09/2018] 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 01/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 01/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 74.151 vu: ml id: Nepro t0: [00:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [00:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [00:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [22:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:00:00 01/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: calprevflg t0: [02:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [20:00:00 01/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Gastric Meds t0: [20:00:00 01/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro t0: [02:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 360 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [02:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [02:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [02:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 34.717 cv: 2528.64 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 3635.27 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 74.717 cv: 3648.64 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 200 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 340 cv: 340 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 1040 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 340 cv: 6490 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: -4084.73 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: -265.283 cv: -2841.36 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 13506 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: -265.283 cv: 10664.7 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: -265.283 cv: -265.283 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU pv: 340 cv: 6490 ac: 24 ap: none re: 0
id: RSBI Not Completed t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 536 n1: 536 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: BSA t0: [04:30:00 02/09/2018] el: 1033 cg: -1 cu: CSRU v1: 1.88707 n1: 1.88707 u1: m2 id: Admit Wt t0: [04:30:00 02/09/2018] el: 1032 cg: -1 cu: CSRU v1: 74.9 n1: 74.9 u1: kg id: Allergy 1 t0: [04:30:00 02/09/2018] el: 1020 cg: -1 cu: CSRU v1: Penicillins id: Diagnosis/op t0: [04:30:00 02/09/2018] el: 1023 cg: -1 cu: CSRU v1: PNEUMONIA id: Service t0: [04:30:00 02/09/2018] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [04:30:00 02/09/2018] el: 1034 cg: -1 cu: CSRU v1: 65 n1: 65 u1: inches id: Readmission t0: [04:30:00 02/09/2018] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [04:30:00 02/09/2018] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [04:30:00 02/09/2018] el: 1000 cg: -1 cu: CSRU v1: NSP id: Allergy 2 t0: [04:30:00 02/09/2018] el: 1021 cg: -1 cu: CSRU id: Ext t0: [04:30:00 02/09/2018] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [04:30:00 02/09/2018] el: 1022 cg: -1 cu: CSRU
id: Service Type t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 74.151 vu: ml id: Nepro t0: [05:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [05:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [05:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [05:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [05:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [06:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [06:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [06:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [06:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 02/09/2018] el: 0 cg: CoWkr cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Temp. Site t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Temperature F t0: [06:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [05:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Fentanyl t0: [04:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [04:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [07:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [07:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [07:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: WBC (4-11,000) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: WBC t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Hematocrit t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: RBC t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.89 n1: 2.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: BUN t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:15:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.43 n1: 36.43 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 546 n1: 546 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 02/09/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [08:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [08:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [08:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [08:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Family Communication t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [09:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [09:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [09:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [09:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [09:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [10:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [10:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [10:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [10:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:34:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 645 n1: 645 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:30:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [11:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [11:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [11:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Propofol t0: [11:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 02/09/2018] el: 0 cg: CoWker cu: CSRU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Art.pH t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:47:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 02/09/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [12:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [13:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [13:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [12:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [13:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [12:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [12:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Propofol t0: [12:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [14:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 330 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [14:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Propofol t0: [14:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 562 n1: 562 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:07:00 02/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 02/09/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Nepro t0: [16:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 550 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [16:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml
id: Propofol t0: [16:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: TF Residual t0: [16:00:00 02/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [17:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 550 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [17:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Propofol t0: [17:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [18:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [18:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 1 vu: ml
id: Propofol t0: [18:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 02/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/09/2018] 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 02/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Gastric Meds t0: [20:00:00 02/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [20:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 80 vu: ml id: GT Flush t0: [20:00:00 02/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Propofol t0: [19:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 02/09/2018] el: 3 cg: RN cu: CSRU cv: 80 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [21:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 420 vu: ml
id: Propofol t0: [21:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: QTc t0: [21:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 0.44 n1: 0.44 u1: sec st: NotStopd
id: Service Type t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [22:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [22:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Riker-SAS Scale t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: HOB t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 02/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [23:00:00 02/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [23:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [19:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [21:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [22:00:00 02/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vu: ml
id: Propofol t0: [23:00:00 02/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 571 n1: 571 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 02/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [00:00:00 03/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Propofol t0: [00:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [01:00:00 03/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [01:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [02:00:00 03/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [02:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Nepro t0: [03:00:00 03/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Propofol t0: [03:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 2814.12 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 6695 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 6695 ac: 24 ap: carryForward re: 0
io: Tube Feeding el: 1 cg: RN cu: CSRU ra: 40 ru: ml/hr
id: Nepro t0: [03:15:00 03/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml st: Stopped id: Tube Feeding t0: [03:15:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: 24h Total In t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 3504.12 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU cv: 510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: -90 cv: -3190.88 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: -90 cv: 7473.79 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU pv: -90 cv: -90 ac: 1 ap: none re: 0
id: Pain Present t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Tube Feeding t0: [04:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Propofol t0: [04:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:59:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: WBC t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Hematocrit t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: RBC t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.01 n1: 3.01 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Airway Size t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Size t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Intubation Date t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [02:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Temp. Site t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: RSBI (<100) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 59.0476 n1: 59.0476 u1: units st: NotStopd id: FiO2 Set t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 59.0476 n1: 59.0476 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.525 n1: 0.525 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 518 n1: 518 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: PTT t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Tube Feeding t0: [05:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml
id: Propofol t0: [05:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PT t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: INR t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 rs: Final st: NotStopd
id: BUN t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Tube Feeding t0: [06:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Propofol t0: [06:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 501 n1: 501 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.434 vu: ml id: Gastric Meds t0: [08:00:00 03/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [08:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [08:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 730 vu: ml
id: Propofol t0: [08:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Tube Feeding t0: [09:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Propofol t0: [09:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 55 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PEEP Set t0: [10:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd
id: Service Type t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.717 vu: ml id: Tube Feeding t0: [10:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 480 vu: ml
id: Propofol t0: [10:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 45 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Tube Feeding t0: [11:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [11:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 45 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:04:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 35.8 n1: 35.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: 548 n1: 548 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 03/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 03/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Tube Feeding t0: [12:00:00 03/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml st: Stopped id: Urine Out Foley t0: [12:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Propofol t0: [12:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 45 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Gastric Meds t0: [12:00:00 03/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: Service Type t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: O2 Flow (lpm) t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: % st: NotStopd id: SpO2 t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [12:45:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Urine Out Foley t0: [13:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 650 vu: ml
id: Less Restrict Meas. t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Arterial BP t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Urine Out Foley t0: [14:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 330 vu: ml
id: ETT Mark/Location t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: O2 Delivery Device t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Ventilator Type t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: ETT Mark/Location t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Airway Size t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: O2 Delivery Device t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: % st: NotStopd id: Ventilator Type t0: [14:30:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Urine Out Foley t0: [15:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 310 vu: ml
id: Less Restrict Meas. t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 03/09/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [15:00:00 03/09/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Stool Out Stool t0: [16:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [16:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml
id: Stool Out Total t0: [23:00:00 03/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 208 n1: 208 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:43:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Arterial BP t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [18:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 40.446 vu: ml id: Urine Out Foley t0: [18:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Fingerstick Glucose t0: [18:00:00 03/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 03/09/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.223 vu: ml id: Urine Out Foley t0: [19:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 230 vu: ml
id: Less Restrict Meas. t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 03/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Extubation Date t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Opening t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Airway Size t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Eye Care t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [20:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 03/09/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 03/09/2018] el: 1 ai: 209 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 03/09/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100mghr Midazolam t0: [20:00:00 03/09/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/09/2018] 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 03/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 03/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Assistance Device t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Eye Care t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Oral Care t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Skin Care t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Back Care t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Art.pH t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 169 n1: 169 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:40:00 03/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Extubation Date t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Opening t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Airway Size t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 03/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Service Type t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Arterial BP t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Education Topic #1 t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Side Rails t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sitter t0: [00:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: At Bedside st: NotStopd id: Sitter t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: At Bedside st: NotStopd id: Support Systems t0: [02:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd
id: Art.pH t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 181 n1: 181 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:23:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Pain Present t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [03:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt#1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sitter t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: At Bedside st: NotStopd id: Skin Care t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [04:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 rs: Final st: NotStopd id: WBC t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 rs: Final st: NotStopd id: Hematocrit t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: RBC t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.56 n1: 3.56 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 rs: Final st: NotStopd
id: BUN t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Albumin t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Calcium t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Total Bili t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: BUN (6-20) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:07:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: CVP t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rate t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:10:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:15:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: INV Line#1 Type/Site t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: INV#1 Cap Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 04/09/2018] el: 0 cg: CoWkr cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: HOB t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Assistance Device t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Heart Rate t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI#1 Intub Site t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Imp Skin Cleanse #1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Character #1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Drain/Amt#1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wound Base#1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wth/Lth #1 t0: [09:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [09:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [10:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Arterial BP t0: [11:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial BP Mean t0: [11:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Fingerstick Glucose t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Impaired Skin Site#1 t0: [14:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
io: D5/.45NS el: 1 cg: RN cu: CSRU ra: 75 ru: ml/hr
id: Pain Present t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 04/09/2018] el: 0 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [12:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml id: D5/.45NS t0: [13:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: D5/.45NS t0: [14:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: D5/.45NS t0: [15:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: INV Line#2 D/C Date t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Type/Site t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2InsertDate t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2SiteAppear t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Dsg Change t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Cap Change t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Tubing Change t0: [17:00:00 04/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: BUN t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Chloride t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Potassium t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:51:00 04/09/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device#2 t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 04/09/2018] el: 0 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [16:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [17:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [17:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: calprevflg t0: [18:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [18:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [15:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 330 vu: ml
id: D5/.45NS t0: [17:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml
id: Pain Present t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: BPM st: NotStopd id: Heart Rate t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 04/09/2018] el: 0 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 46 n1: 46 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:55:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [19:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: D5/.45NS t0: [20:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [20:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 210 vu: ml
id: Service Type t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: NBP t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 39.2222 n1: 39.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 102.6 n1: 102.6 u1: Deg. F st: NotStopd id: calprevflg t0: [20:05:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: Deg. F st: NotStopd id: calprevflg t0: [20:30:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [21:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [21:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 04/09/2018] el: 0 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/09/2018] 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [22:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [22:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Temp. Site t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
id: NBP t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd
id: Pain Present t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [23:00:00 04/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 04/09/2018] el: 0 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 04/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [23:00:00 04/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [23:00:00 04/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: IV Infusion In Total t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 75 cv: 2930 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 75 cv: 2930 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 2130 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 800 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 8273.79 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 2130 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 05/09/2018] el: 0 cg: NA cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: O2 Delivery Device t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device#2 t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn st: NotStopd id: Temp. Site t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 39.5556 n1: 39.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 103.2 n1: 103.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: bath t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: CoolingDevice/Status t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Eye Care t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: Off st: NotStopd id: Risk for Falls t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 04/09/2018] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [01:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 33 vu: ml id: Urine Out Foley t0: [01:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 31 vu: ml
id: Service Type t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Precautions t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [02:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [02:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Temperature C (calc) t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd
id: Ectopy Frequency t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [03:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Pain Present t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: CoolingDevice/Status t0: [02:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: Off st: NotStopd id: CoolingDevice/Status t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: Off st: NotStopd id: CoolingDevice/Status t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: Off st: NotStopd id: Daily Wake Up t0: [04:00:00 05/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Incision/Wound #1 t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device#2 t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [04:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: NBP t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd
id: WBC (4-11,000) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: WBC t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: Hematocrit t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29.4 n1: 29.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10.2 n1: 10.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: RBC t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.32 n1: 3.32 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd
id: BUN t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Total Bili t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: ALT t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 rs: Final st: NotStopd id: BUN (6-20) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [05:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [05:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Differential-Bands t0: [03:51:00 05/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 05/09/2018] el: 0 cg: NA cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Temp. Site t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: D5/.45NS t0: [06:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [06:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Pain Present t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device#2 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 05/09/2018] 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: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden SensoryPercep t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [09:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 225 vu: ml id: Urine Out Foley t0: [09:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [10:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [10:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Sputum Color/Consist t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [10:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: Service Type t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [11:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [11:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [12:00:00 05/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 11 n2: 11 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 15 n2: 15 st: NotStopd id: Temp. Site t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden Score t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [12:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [12:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [13:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [14:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [14:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #2 Insert Date t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [15:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [15:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: INV Line#1 Type/Site t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [15:00:00 05/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: FiO2 Set t0: [15:15:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [15:15:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [15:15:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: INV Line#1 D/C Date t0: [15:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd
id: Pain Present t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [16:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [16:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Stool Out Stool t0: [08:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Stool Out Total t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [18:00:00 05/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [18:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [18:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml
id: Pain Present t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/09/2018] 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [20:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [20:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 410 vu: ml
id: bath t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [21:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [21:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [22:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [22:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [23:00:00 05/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Abdominal Assessment t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/09/2018] el: 0 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 05/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [23:00:00 05/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [23:00:00 05/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: 75 cv: 2300 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: 75 cv: 2300 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 3419 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: -25 cv: -1119 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: -25 cv: 7154.79 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: -25 cv: -25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 3419 ac: 24 ap: carryForward re: 0
id: Service Type t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/09/2018] 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 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/09/2018] 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 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [00:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: D5/.45NS t0: [01:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: D5/.45NS t0: [02:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [00:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [01:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [02:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: IV Infusion In Total t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 250 cv: 2555 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 270 cv: 2695 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 1405 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 170 cv: 1290 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 170 cv: 8444.79 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 170 cv: 170 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 100 cv: 1405 ac: 24 ap: carryForward re: 0
id: HOB t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Pain Present t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 06/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [03:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: NBP t0: [04:00:00 06/09/2018] el: 0 cg: RRT cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 06/09/2018] el: 0 cg: RRT cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [04:00:00 06/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 06/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: D5/.45NS t0: [03:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml id: D5/.45NS t0: [04:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: O2 Delivery Device t0: [21:00:00 05/09/2018] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd
id: WBC (4-11,000) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: WBC t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Hematocrit t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: RBC t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.26 n1: 3.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd
id: PT t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: INR t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd
id: BUN t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Albumin t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Calcium t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: BUN (6-20) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:57:00 06/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/09/2018] 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 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [05:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [06:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Fingerstick Glucose t0: [06:00:00 06/09/2018] el: 0 cg: CoWkr cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: calprevflg t0: [09:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Service Type t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [10:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/09/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: GI#1 Intub Site t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd
id: FiO2 Set t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [10:30:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 06/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/09/2018] 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: [13:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Support Systems t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [12:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 250 vu: ml id: D5/.45NS t0: [13:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Foley t0: [10:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Service Type t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [14:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [13:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [14:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml
id: FiO2 Set t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [15:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [15:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/09/2018] 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: [17:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [16:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [17:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [16:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [16:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [16:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [17:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: D5/.45NS t0: [18:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [18:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: CVP t0: [19:00:00 06/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Heart Rate t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Temp. Site t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [19:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [20:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [19:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: GI Prophylaxis t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Cavity t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline t0: [20:00:00 06/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
id: Dorsal PedPulse R/L t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Verbal Response t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Service Type t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [21:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [21:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Service Type t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [22:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [22:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: IV #1 Insert Date t0: [22:00:00 06/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [22:00:00 06/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [22:00:00 06/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: bath t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: done id: Eye Care t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Therapeutic Bed t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #1 D/C Date t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 06/09/2018] el: 0 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/09/2018] 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 06/09/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [23:00:00 06/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Tube Feeds In Total t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU pv: 20 cv: 140 ac: 24 ap: none re: 0
id: IV #2 Insert Date t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
io: .9% Normal Saline el: 3 cg: RN cu: CSRU ru: ml/hr
id: .9% Normal Saline t0: [21:00:00 06/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline t0: [22:00:00 06/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline t0: [23:00:00 06/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml
id: TF Residual t0: [20:00:00 06/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml
id: Education Topic #1 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Restraint Location t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Behavior t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Braden Activity t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Stool Color/Consist t0: [21:00:00 06/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd
id: Stool Out Stool t0: [21:00:00 06/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Pain Present t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 07/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Position t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [23:00:00 06/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml id: Tube Feeding t0: [00:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml
id: Stool Out Total t0: [23:00:00 06/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [00:00:00 07/09/2018] el: 0 cg: CoWkr cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Temp. Site t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd
id: IV #2 Insert Date t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Sputum Color/Consist t0: [00:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd
id: Gastric Meds t0: [00:30:00 07/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:30:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 145 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU cv: 40 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [01:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [01:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [02:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml
id: D5/.45NS t0: [03:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [02:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [02:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU pv: 125 cv: 2110 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU pv: 155 cv: 2350 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/09/2018] el: 3 cg: 3161 cu: CSRU pv: 30 cv: 200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/09/2018] el: 3 cg: 3161 cu: CSRU cv: 1855 ac: 24 ap: none re: 0
id: HOB t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Stool Out Stool t0: [02:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 07/09/2018] el: 3 cg: 3161 cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU pv: 155 cv: 495 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU pv: 155 cv: 8939.79 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/09/2018] el: 3 cg: RN cu: CSRU pv: 155 cv: 155 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/09/2018] el: 3 cg: 3161 cu: CSRU cv: 1855 ac: 24 ap: carryForward re: 0
id: FiO2 Set t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [02:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd
id: WBC (4-11,000) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: WBC t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Hematocrit t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 27.4 n1: 27.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 152 n1: 152 rs: Final st: NotStopd id: RBC t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: PT t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: INR t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: PTT(22-35) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:00:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [04:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Pain Assess Method t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [04:00:00 07/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Support Systems t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 07/09/2018] 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 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [05:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [06:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Fingerstick Glucose t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: HOB t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Assistance Device t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Stool Color/Consist t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Therapeutic Bed t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Stool Out Stool t0: [06:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: FiO2 Set t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: MDI #1 (Puff/Drug) t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:00:00 07/09/2018] el: 0 cg: RRT cu: CSRU st: NotStopd
id: Pain Present t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Insert Date t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 07/09/2018] 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: [08:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [07:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [08:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:45:00 07/09/2018] 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: [08:15:00 07/09/2018] 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: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:45:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Scant st: NotStopd id: Therapeutic Bed t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [09:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [09:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [10:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [11:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Combivent st: NotStopd id: O2 Delivery Device t0: [11:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [11:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [11:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd
id: Service Type t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #2 Insert Date t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [11:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Foley t0: [11:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [12:00:00 07/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Incision/Wound #1 t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [12:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Art.pH t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:46:00 07/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [12:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml st: Stopped
id: Service Type t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:15:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:15:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [15:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: FiO2 Set t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #2 Insert Date t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity Tolerance t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Temp. Site t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd
id: D5/.45NS t0: [14:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: D5/.45NS t0: [15:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml
id: Nepro t0: [16:00:00 07/09/2018] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Present t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #2 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #2 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Level of Conscious t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Restraint Location t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Skin Care t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS t0: [16:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [16:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [17:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [18:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [17:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 07/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: NBP t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd
id: Family Communication t0: [18:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Sputum Color/Consist t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [11:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [13:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [16:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:30:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [19:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [19:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [19:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [19:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5/.45NS t0: [20:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [20:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [21:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [21:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 07/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/09/2018] 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [22:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml
id: Sputum Color/Consist t0: [21:30:00 07/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd
id: Pain Present t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 07/09/2018] el: 0 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 07/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd
id: TF Residual t0: [00:00:00 08/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [00:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [23:00:00 07/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml
id: D5/.45NS t0: [00:00:00 08/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml
id: .9% Normal Saline t0: [00:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 125 vu: ml
id: Urine Out Foley t0: [00:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: calprevflg t0: [01:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: bath t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: GI Prophylaxis t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Support Systems t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [01:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [01:00:00 08/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml st: Stopped id: Gastric Meds t0: [00:00:00 08/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: GT Flush t0: [00:00:00 08/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [01:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [02:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 30 vu: ml
id: Sputum Color/Consist t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd
id: Stool Out Stool t0: [01:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [02:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 230 vu: ml id: Urine Out Foley t0: [02:30:00 08/09/2018] el: 1 cg: RN cu: CSRU vu: ml
id: Service Type t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [03:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: TF Residual t0: [03:00:00 08/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml
id: WBC (4-11,000) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: WBC t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Hematocrit t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 163 n1: 163 rs: Final st: NotStopd id: RBC t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.27 n1: 3.27 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Support Systems t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Tube Feeding t0: [04:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml
id: BUN t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:13:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: .9% Normal Saline t0: [04:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 08/09/2018] 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 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/09/2018] 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 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline t0: [06:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: TF Residual t0: [06:00:00 08/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [21:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [22:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: D5/.45NS t0: [23:00:00 07/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 125 vu: ml id: Tube Feeding t0: [05:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [06:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd
id: HOB t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: FiO2 Set t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [06:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd
id: Service Type t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [07:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [07:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Pain Present t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [08:00:00 08/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [08:00:00 08/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [08:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Service Type t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 20 n2: 20 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #2 t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [12:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [12:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 160 vu: ml id: Urine Out Foley t0: [12:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 420 vu: ml
id: Service Type t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 49 n1: 49 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: calprevflg t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 101.5 n1: 101.5 u1: Deg. F st: NotStopd
id: .9% Normal Saline t0: [14:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [14:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Radiologic Study t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [15:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [15:00:00 08/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [13:00:00 08/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [15:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU cv: 170 ac: 24 ap: none re: 0
id: Extubation Date t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Intubation Date t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: O2 Delivery Device t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Venous CO2(Calc) t0: [16:01:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: no data rs: Final st: NotStopd id: Venous PvCO2 t0: [16:01:00 08/09/2018] el: 0 cg: 3161 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [16:01:00 08/09/2018] el: 0 cg: 3161 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [16:01:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 u1: pH rs: Final st: NotStopd
id: Extubation Date t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Intubation Date t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:30:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: FiO2 Set t0: [16:35:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd
id: Art.pH t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 355 n1: 355 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:29:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Oral Care t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Position t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Therapeutic Bed t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [17:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [17:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [17:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Significant Events t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [17:15:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [17:15:00 08/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Pain Present t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Pain Location t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [18:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [20:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [20:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: FiO2 Set t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Poor st: NotStopd id: Incision/Wound #1 t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Oral Cavity t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 08/09/2018] 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: Restraint Location t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [21:30:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: TF Residual t0: [21:30:00 08/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [21:30:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:30:00 08/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Urine Out Total t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU cv: 2255 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Sputum Color/Consist t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: Service Type t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 08/09/2018] el: 0 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 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Tube Feeding t0: [22:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [22:00:00 08/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU cv: 2255 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 09/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 23 n2: 23 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [00:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [23:00:00 08/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: GT Flush t0: [00:00:00 09/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [00:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [23:00:00 08/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 2694 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 3794 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU cv: 200 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 930 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 1539 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 10478.8 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 08/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0
id: Venous pH t0: [23:39:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 u1: pH rs: Final st: NotStopd
id: Venous CO2(Calc) t0: [23:39:00 08/09/2018] el: 0 cg: 3161 cu: CSRU v1: no data rs: Final st: NotStopd id: Venous PvCO2 t0: [23:39:00 08/09/2018] el: 0 cg: 3161 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [23:39:00 08/09/2018] el: 0 cg: 3161 cu: CSRU u1: mmHg rs: Final st: NotStopd
id: Activity t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU st: NotStopd id: Assistance Device t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU st: NotStopd id: Turn t0: [23:00:00 08/09/2018] el: 0 cg: RN cu: CSRU st: NotStopd
id: bath t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Position t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [03:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [03:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [03:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: WBC t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Hematocrit t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29.7 n1: 29.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: RBC t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.36 n1: 3.36 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 09/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Opening t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 23 n2: 23 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 09/09/2018] el: 0 cg: RN cu: CSRU u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [04:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: PT t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: INR t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd
id: BUN t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Albumin t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Calcium t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Total Bili t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: ALT t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Amylase t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: Urine Out Foley t0: [03:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Differential-Bands t0: [03:29:00 09/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd
id: Service Type t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: NBP t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 09/09/2018] 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: [02:30:00 09/09/2018] 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: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 08/09/2018] 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: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 08/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 09/09/2018] el: 0 cg: NA cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: NBP t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [06:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [06:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [06:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Learner t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Opening t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 23 n2: 23 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Type t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 09/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [08:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [08:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: FiO2 Set t0: [08:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Sputum Color/Consist t0: [08:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: Service Type t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [10:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [10:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: bath t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Back Care t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [10:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Sputum Color/Consist t0: [11:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 09/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Opening t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Site/Size t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Type t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Level of Conscious t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [12:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Micro-Neb Treatment t0: [12:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd
id: Extubation Date t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Type t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Intubation Date t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: O2 Delivery Device t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:15:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [14:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 7 vu: ml
id: Significant Events t0: [15:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: Extubation Date t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: FiO2 Set t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Type t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Intubation Date t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: O2 Delivery Device t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: Pain Present t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Site/Size t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proned st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 09/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [16:00:00 09/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [16:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [16:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 43 vu: ml
id: Fingerstick Glucose t0: [18:00:00 09/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 09/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 17 n2: 17 st: NotStopd id: Eye Care t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Airway Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Support Systems t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [19:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [20:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 09/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [20:00:00 09/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [19:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [20:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: HR Alarm (Lo/Hi) t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd
id: Significant Events t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: Compliance (40-60ml) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<100) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Cuff Pressure-Airway t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI Not Completed t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Mark/Location t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Extubation Date t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Insp. Pressure t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Resp. Rate t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inspired Gas Temp t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Intubation Date t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Low Exhaled Min Vol t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Mean Airway Pressure t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume(Obser) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Apnea Time Interval t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pressure Support t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<200) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Auto-PEEP Level t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank A psi. t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank B psi. t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ve High t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sensitivity-Vent t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon RR (Mech.) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Spont) t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Mode t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [21:00:00 09/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: FiO2 Set t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: alb st: NotStopd id: O2 Delivery Device t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: SpO2 t0: [21:30:00 09/09/2018] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Service Type t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 09/09/2018] el: 0 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU st: NotStopd id: Temp. Site t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 09/09/2018] el: 0 cg: RN cu: CSRU u1: Deg. F st: NotStopd id: Temperature F t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: calprevflg t0: [21:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [22:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [22:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [22:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: FiO2 Set t0: [00:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [00:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [00:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd
id: Fingerstick Glucose t0: [00:30:00 10/09/2018] el: 0 cg: NA cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 10/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Site/Size t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Insert Date t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 09/09/2018] 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 09/09/2018] 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: [23:30:00 09/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 09/09/2018] 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 09/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 09/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [00:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [01:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [23:00:00 09/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [01:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [23:00:00 09/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 09/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: IV Infusion In Total t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 1840 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 3000 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/09/2018] 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 09/09/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 1270 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 0 cv: 1730 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 0 cv: 12208.8 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 1270 ac: 24 ap: none re: 0
id: bath t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #2 Insert Date t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Insert Date t0: [02:08:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 09/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [02:08:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Insert Date t0: [02:08:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Site/Size t0: [02:08:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Precautions t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 10/09/2018] 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 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 2540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 50 cv: 3540 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/09/2018] 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 10/09/2018] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 30 cv: 1900 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 20 cv: 1640 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 20 cv: 13848.8 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU pv: 30 cv: 1900 ac: 24 ap: none re: 0
id: Temp. Site t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd
id: Micro-Neb Treatment t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: alb st: NotStopd id: O2 Delivery Device t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: WBC (4-11,000) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: WBC t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Hematocrit t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29.2 n1: 29.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 205 n1: 205 rs: Final st: NotStopd id: RBC t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.21 n1: 3.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: BUN t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Albumin t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 159 n1: 159 rs: Final st: NotStopd id: Magnesium t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Total Bili t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Amylase t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: BUN (6-20) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 159 n1: 159 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:27:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 10/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 10/09/2018] 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: [02:30:00 10/09/2018] 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 10/09/2018] 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: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [03:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [04:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [01:00:00 10/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: TF Residual t0: [04:00:00 10/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [01:00:00 10/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [03:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [04:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/09/2018] el: 3 cg: RN cu: CSRU cv: 40 ac: 24 ap: none re: 0
id: Temp. Site t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd
id: FiO2 Set t0: [04:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [04:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [04:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Service Type t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:30:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline t0: [05:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline t0: [05:30:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline t0: [06:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Tube Feeding t0: [04:30:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [05:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [05:30:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [06:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml
id: Urine Out Foley t0: [04:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fingerstick Glucose t0: [06:00:00 10/09/2018] el: 0 cg: NA cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Service Type t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 103.667 n1: 103.667 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:30:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline t0: [07:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Tube Feeding t0: [06:30:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [07:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:30:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [07:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Support Systems t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: FiO2 Set t0: [10:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Delivery Device t0: [10:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fingerstick Glucose t0: [12:00:00 10/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: FiO2 Set t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 2.5 ALB st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 10/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: Pain Present t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [12:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [13:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Art.pH t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Lactic Acid t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:56:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Incision/Wound #1 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Support Systems t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [16:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fingerstick Glucose t0: [18:00:00 10/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Pain Present t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 10/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Incision/Wound #1 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 10/09/2018] 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: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [17:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [19:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [20:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [19:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [20:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [20:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/09/2018] el: 0 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: calprevflg t0: [21:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Service Type t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Position t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: % st: NotStopd id: SpO2 t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [20:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [23:00:00 10/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Incision/Wound #1 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 10/09/2018] 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 10/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 101.3 n1: 101.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [22:30:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 10/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [23:00:00 10/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 10/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 10/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Art.pH t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:55:00 10/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: calprevflg t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: bath t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Eye Care t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temperature C (calc) t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Position t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 11/09/2018] 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 11/09/2018] 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: [02:30:00 11/09/2018] 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 11/09/2018] 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: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [00:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [03:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [03:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 807.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 1617.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 680 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 1155 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 462.5 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 14311.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 1155 ac: 24 ap: carryForward re: 0
id: HOB t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 11/09/2018] 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 11/09/2018] 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: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [04:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [06:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [05:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [06:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [06:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: Sputum Color/Consist t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [02:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [05:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: PT t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: INR t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.9 n1: 28.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.9 n1: 28.9 rs: Final st: NotStopd
id: BUN t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Total Bili t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: BUN (6-20) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: WBC t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Hematocrit t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 222 n1: 222 rs: Final st: NotStopd id: RBC t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Chloride t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Sodium t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Carbon Dioxide t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [07:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diet Type t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Bowel Sounds t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [08:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Pain Present t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Education Topic #1 t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: IV #2 Insert Date t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Pain Location t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Side Rails t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Sputum Color/Consist t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Temp. Site t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: Differential-Bands t0: [05:36:00 11/09/2018] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Stool Out Stool t0: [10:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [10:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Stool Out Total t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Sputum Color/Consist t0: [10:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [10:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Scant st: NotStopd
id: bath t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Care t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Skin Care t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Back Care t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Fingerstick Glucose t0: [12:00:00 11/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [12:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: IV #2 Insert Date t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Pain Location t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd id: Temp. Site t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Back Care t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Braden Activity t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: GI#1 Tube PlaceCheck t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [12:00:00 11/09/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [12:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml st: Stopped
id: Service Type t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Color/Consist t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd
id: Service Type t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Alarms t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Procedures t0: [14:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Sputum Color/Consist t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd
id: .9% Normal Saline t0: [14:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [14:00:00 11/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: GT Flush t0: [14:00:00 11/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml
id: GI#1 Tube PlaceCheck t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd
id: GI Prophylaxis t0: [12:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd
id: Service Type t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:45:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:45:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml
id: Urine Out Foley t0: [14:45:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/09/2018] 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: [16:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Respiratory Rate t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Temp. Site t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [16:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [17:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [17:00:00 11/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Tube Feeding t0: [18:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Service Type t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [20:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [20:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Bowel Sounds t0: [20:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: FiO2 Set t0: [21:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [21:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [21:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 11/09/2018] el: 0 cg: RRT cu: CSRU v1: White v2: Frothy st: NotStopd
id: Service Type t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 11/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 11/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 11/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 11/09/2018] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 11/09/2018] el: 3 cg: RN cu: CSRU cv: 130 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/09/2018] el: 0 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/09/2018] 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 11/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [23:00:00 11/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Fingerstick Glucose t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [00:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: GT Flush t0: [00:00:00 12/09/2018] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [00:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [00:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU cv: 140 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [02:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [02:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: 380 cv: 380 ac: 1 ap: estimateVol re: 0 id: Tube Feeds In Total t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU cv: 600 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: 380 cv: 1818 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: 380 cv: 1818 ac: 24 ap: estimateVol re: 0
id: NBP t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd
id: IV Infusion In Total t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: 320 cv: 3000 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: 320 cv: 3740 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: -60 cv: 1922 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: -60 cv: 16233.3 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU pv: -60 cv: -60 ac: 1 ap: estimateVol re: 0
id: Pain Present t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Incision/Wound #1 t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Bowel Sounds t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [04:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [04:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: NBP t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd
id: WBC (4-11,000) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: WBC t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Hematocrit t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 229 n1: 229 rs: Final st: NotStopd id: RBC t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.24 n1: 3.24 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: BUN t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Total Bili t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: BUN (6-20) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PTT t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 rs: Final st: NotStopd
id: PT t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: INR t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:43:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd
id: NBP t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd
id: Service Type t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 12/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [06:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Stool Out Stool t0: [04:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [06:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [06:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: FiO2 Set t0: [06:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [06:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [06:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Pain Present t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 12/09/2018] 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: [08:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [08:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Color/Consist t0: [08:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd
id: D5/.45NS t0: [08:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Stool Out Stool t0: [08:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Service Type t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Position t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [09:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [09:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity Tolerance t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [10:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [10:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [11:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Gastric Meds t0: [11:00:00 12/09/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [11:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
id: FiO2 Set t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Pain Present t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [12:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [12:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [12:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [12:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Urine Source t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [13:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [13:00:00 12/09/2018] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml st: Stopped id: Urine Out Foley t0: [13:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: HOB t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Turn t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: GI#1 Intub Site t0: [13:01:00 12/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [13:01:00 12/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [13:01:00 12/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Art.pH t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:05:00 12/09/2018] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [14:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Therapeutic Bed t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: calprevflg t0: [15:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [15:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: GI#1 Tube PlaceCheck t0: [16:00:00 12/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [16:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [16:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [17:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [17:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fingerstick Glucose t0: [18:00:00 12/09/2018] el: 0 cg: 6919 cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [18:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [18:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: FiO2 Set t0: [19:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [19:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 12/09/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Pain Present t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [20:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [20:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [20:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Service Type t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [21:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [21:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/09/2018] 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 12/09/2018] el: 0 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/09/2018] 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 12/09/2018] 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 12/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Temp. Site t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 12/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [23:00:00 12/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [23:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml
id: Fingerstick Glucose t0: [00:00:00 13/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Precautions t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [23:00:00 12/09/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [00:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [00:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [01:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [01:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Service Type t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [02:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [23:00:00 12/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [02:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Stool Out Total t0: [23:00:00 12/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: estimateVol re: 0
id: bath t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Stool Color/Consist t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [03:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [03:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [03:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [03:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 4880 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 4880 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 4445 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 435 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 16668.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/09/2018] el: 3 cg: RN cu: CSRU cv: 4445 ac: 24 ap: carryForward re: 0
id: WBC (4-11,000) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: WBC t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Hematocrit t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 24.3 n1: 24.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 245 n1: 245 rs: Final st: NotStopd id: RBC t0: [03:06:00 13/09/2018] 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: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: BUN t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Albumin t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: BUN (6-20) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: Pain Present t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Pain Location t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [04:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [04:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: PT t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: INR t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:06:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 rs: Final st: NotStopd
id: KCL io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CSRU am: 40 du: mEq rt: Intravenous Push
id: Service Type t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Oral Care t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [05:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 500.0ml t0: [05:00:00 13/09/2018] el: 1 ai: 115 cg: RN cu: CSRU vu: ml nb: 1 id: Stool Out Stool t0: [05:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [05:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Service Type t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [06:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 500.0ml t0: [06:00:00 13/09/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Fingerstick Glucose t0: [06:00:00 13/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 13/09/2018] 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: [08:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [08:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [08:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 290 vu: ml
id: Service Type t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [09:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [09:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 370 vu: ml
id: Service Type t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [10:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [10:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Service Type t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [11:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [11:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Pain Present t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Stool Out Stool t0: [12:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [12:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Service Type t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [13:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [13:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: calprevflg t0: [14:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [14:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 340 vu: ml
id: Service Type t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [15:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 22 n2: 22 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/09/2018] 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [16:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [16:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Hematocrit t0: [16:07:00 13/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd
id: Service Type t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Family Communication t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [17:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [17:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [18:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [18:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [18:00:00 13/09/2018] el: 0 cg: 6919 cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 13/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline t0: [20:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [20:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [20:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV #2 Reason DC'D t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Reason DC'D t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Insert Date t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Site/Size t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #3 t0: [20:00:00 13/09/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: HOB t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: ImpSkin Wound Base#2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: Oral Care t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Skin Care t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Therapeutic Bed t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Braden Activity t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [21:00:00 13/09/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [21:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 13/09/2018] el: 0 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 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temperature C (calc) t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:30:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [22:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 13/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [22:00:00 13/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [22:00:00 13/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 14/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 14/09/2018] 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 13/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/09/2018] 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 13/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 13/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [00:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [00:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [00:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Fingerstick Glucose t0: [00:00:00 14/09/2018] el: 0 cg: CoOPst cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: KCL io: D5/.45NS el: 205 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
id: .9% Normal Saline 500.0ml t0: [02:00:00 14/09/2018] el: 1 ai: 115 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Position t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/09/2018] 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 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [02:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [02:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 360 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 3280 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 3400 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 2770 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [02:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 630 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 17298.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: CSRU cv: 2770 ac: 24 ap: carryForward re: 0
id: Service Type t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [04:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [04:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 380 vu: ml
id: Pain Present t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [05:00:00 14/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #1 Insert Date t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#2 t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [05:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline t0: [05:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [05:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [05:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: WBC (4-11,000) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: WBC t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Hematocrit t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 26.4 n1: 26.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 274 n1: 274 rs: Final st: NotStopd id: RBC t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.04 n1: 3.04 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [06:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [06:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: BUN t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Albumin t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.2 n1: 0.2 rs: Final st: NotStopd id: ALT t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 300 n1: 300 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: BUN (6-20) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: INR t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:51:00 14/09/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 14/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Learner t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Health Care Proxy t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: Oral Cavity t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [08:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS t0: [08:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [08:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [09:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [09:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [10:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [10:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: O2 Flow (lpm) t0: [08:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Service Type t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #1 Insert Date t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Position t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [10:30:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:30:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5/.45NS t0: [10:30:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [10:30:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Service Type t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [12:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5/.45NS t0: [12:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 225 vu: ml id: Urine Out Foley t0: [12:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 210 vu: ml
id: Fingerstick Glucose t0: [12:00:00 14/09/2018] el: 0 cg: Co-wor cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 14/09/2018] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Education Topic #1 t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Thoracotomy, L st: NotStopd id: O2 Delivery Device t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Friend st: NotStopd id: Behavior t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: Service Type t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: SpO2 t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [13:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [13:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #1 Insert Date t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/09/2018] 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [14:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [14:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Po Intake t0: [14:00:00 14/09/2018] el: 1 ai: 103 cg: RN cu: CSRU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 14/09/2018] el: 3 cg: RN cu: -1 cv: 120 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Precautions t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [15:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: House st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Precautions t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/09/2018] el: 0 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 14/09/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 14/09/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [16:00:00 14/09/2018] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS t0: [16:00:00 14/09/2018] el: 2 ai: 112 cg: RN cu: CSRU vo: 150 vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 14/09/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
ci: 33488 t0: 15:25:00 cu: CSRU de: Regular ward dt: 38312