This log is also available as text (206cc.txt) and as a (binary) annotation file (206cc.log).
Generated: Thursday, 23-Apr-2009 00:35:04 EDT
(All dates below are surrogates.)
id: Service Type t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Cardiac Index t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2.12121 n1: 2.12121 u1: ... st: NotStopd id: Code Status t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IABP setting t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: IABP setting t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: NBP t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: PAP Mean t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP Mean t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 12.9 n1: 12.9 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 rs: Manual st: NotStopd id: SaO2 t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 4.91302 n1: 4.91302 u1: L/min st: NotStopd
id: Heparin t0: [14:30:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IABP Mean t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Assisted Systole t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: BAEDP t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: Pain Level t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Aggitation t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Anxiety t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Ataxia t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: sum st: NotStopd id: Daily Wake Up t0: [14:00:00 15/01/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Drowsiness t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Headache t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Nausea and Vomiting t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Seizure t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: IABP setting t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLE Temp/Color t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Level (Rest) t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Type t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Support Systems t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Urine Color/Appear t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.5 vu: ml id: .45% Normal Saline 1000.0ml t0: [15:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Heparin t0: [15:30:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Cardiac Index t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Diastolic Unloading t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP Mean t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP setting t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Assisted Systole t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Augmented Diastole t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: BAEDP t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Swan SVO2 t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Systolic Unloading t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [17:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4237196 hi: 24795 t0: [18:00:00 15/01/2014] tf: [17:00:00 16/01/2014] mn: Hydromorphone pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: IABP setting t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: PAP Mean t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous Weight t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous WeightF t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Riker-SAS Scale t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:45:00 15/01/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rhythm t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Level of Conscious t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:45:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Urine Source t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.5 vu: ml id: .45% Normal Saline 1000.0ml t0: [16:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [17:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Condom Cath t0: [16:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 325 vu: ml
id: Ectopy Frequency t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd
id: Dorsal PedPulse R/L t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v2: Weak Palpable st: NotStopd id: LLE Temp/Color t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #2 t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #2 t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:30:00 15/01/2014] el: 0 cg: RN cu: CCU v2: Diff to Palpate st: NotStopd
id: INV Line#1 Type/Site t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [18:00:00 15/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 15/01/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: IV #1 Reason DC'D t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clotted off st: NotStopd id: Risk for Falls t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 D/C Date t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Insert Date t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLE Temp/Color t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Angio Appearance #1 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Site #1 t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Urine Source t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: calprevflg t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Braden Activity t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [18:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Pain Level t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Abdominal Assessment t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Motor Response t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Level (Rest) t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [18:00:00 15/01/2014] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Pain Type t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Verbal Response t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [18:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [17:00:00 15/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: .45% Normal Saline 1000.0ml t0: [19:00:00 15/01/2014] el: 1 ai: 189 cg: CoWker cu: CCU vo: 10 vu: ml id: Urine Out Condom Cath t0: [19:00:00 15/01/2014] el: 1 cg: CoWker cu: CCU vo: 50 vu: ml
id: Service Type t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 95 n1: 95 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 15/01/2014] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [18:57:00 15/01/2014] el: 1033 cg: -1 cu: CCU v1: 2.31305 n1: 2.31305 u1: m2 id: Admit Wt t0: [18:57:00 15/01/2014] el: 1032 cg: -1 cu: CCU v1: 103 n1: 103 u1: kg id: Allergy 1 t0: [18:57:00 15/01/2014] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [18:57:00 15/01/2014] el: 1023 cg: -1 cu: CCU v1: MYOCARDIAL INFARCTION CARDIAC CATH id: Service t0: [18:57:00 15/01/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [18:57:00 15/01/2014] el: 1034 cg: -1 cu: CCU v1: 72 n1: 72 u1: inches id: Readmission t0: [18:57:00 15/01/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:57:00 15/01/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [18:57:00 15/01/2014] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [18:57:00 15/01/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [18:57:00 15/01/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:57:00 15/01/2014] el: 1022 cg: -1 cu: CCU
pi: 4237666 hi: 24795 t0: [20:00:00 15/01/2014] tf: [21:00:00 17/01/2014] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #1 Insert Date t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [20:00:00 15/01/2014] el: 1 cg: RN cu: CCU v1: Heat Pack st: NotStopd id: Pain Type t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Previous WeightF t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: RLE Temp/Color t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [20:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Pain Present t0: [21:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [21:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Condom Cath t0: [21:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 2325 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 2325 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: NBP t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [22:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Po Intake t0: [20:00:00 15/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [22:00:00 15/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 1350 ac: 24 ap: none re: 0
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vu: ml
id: Heparin t0: [21:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 16 n2: 16 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #2 t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Skin Integrity t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 37.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 15/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 st: NotStopd id: .45% Normal Saline 1000.0ml t0: [00:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Condom Cath t0: [00:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Heparin t0: [00:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 15/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 442.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 1792.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: -532.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: -1238.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/01/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [01:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #2 t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Orientation t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Precautions t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Turn t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 25 vu: ml id: .45% Normal Saline 1000.0ml t0: [02:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Condom Cath t0: [02:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Heparin t0: [02:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Previous WeightF t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [03:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #2 Insert Date t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [03:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Integrity t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 25 vu: ml id: .45% Normal Saline 1000.0ml t0: [04:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml
id: Heparin t0: [04:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd
id: Service Type t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Off st: NotStopd id: LLE Temp/Color t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLE Temp/Color t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Precautions t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLE Temp/Color t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Turn t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [05:00:00 16/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.5 vu: ml id: .45% Normal Saline 1000.0ml t0: [05:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Condom Cath t0: [05:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 900 vu: ml
id: Heparin t0: [05:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: WBC t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: Hematocrit t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 36.2 n1: 36.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 12.1 n1: 12.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 219 n1: 219 rs: Final st: NotStopd id: RBC t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.78 n1: 3.78 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd
id: BUN t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: PT t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: Calcium t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: INR t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Magnesium t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PTT t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 44.1 n1: 44.1 rs: Final st: NotStopd id: Phosphorous t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 44.1 n1: 44.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:40:00 16/01/2014] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: Ectopy Frequency t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Previous WeightF t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [06:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 25 vu: ml id: .45% Normal Saline 1000.0ml t0: [07:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Condom Cath t0: [07:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Heparin t0: [07:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Aggitation t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Aggitation t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Aggitation t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Anxiety t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Anxiety t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Ataxia t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ataxia t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Auditory Disturbance t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: sum st: NotStopd id: CIWA Sum Total t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: sum st: NotStopd id: Drowsiness t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Drowsiness t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Headache t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Headache t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Insomnia t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Nausea and Vomiting t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Orient/Clouding Sens t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Orient/Clouding Sens t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Paroxysmal Sweats t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Paroxysmal Sweats t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Seizure t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Seizure t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Seizure t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tactile Disturbances t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tactile Disturbances t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Tremor t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Tremor t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [02:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Visual Disturbances t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Visual Disturbances t0: [22:00:00 15/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Pain Level t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Code Status t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Aggitation t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: ... st: NotStopd id: Ataxia t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: sum st: NotStopd id: Drowsiness t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Mild Nau, No Vom st: NotStopd id: Orient/Clouding Sens t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Palms moist st: NotStopd id: Seizure t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Mod w/arm extend st: NotStopd id: Visual Disturbances t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Imp Skin Cleanse #1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: ImpSkin Drain/Amt#1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Red/Purple st: NotStopd id: ImpSkin Wth/Lth #1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 cm v2: 3 cm st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Arm, Left Upper st: NotStopd id: LLE Temp/Color t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [09:00:00 16/01/2014] el: 1 cg: RN cu: CCU v1: Backrub v2: Repositioned st: NotStopd id: Pain Type t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Flushed st: NotStopd id: Skin Integrity t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temperature C (calc) t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [09:30:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Bowel Sounds t0: [08:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [09:00:00 16/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 420 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 29 vu: ml id: .45% Normal Saline 1000.0ml t0: [09:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml st: Stopped id: Urine Out Void t0: [09:00:00 16/01/2014] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Heparin t0: [09:30:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Education Barrier t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Activity t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Off st: NotStopd id: Assistance Device t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
pi: 4239331 hi: 24795 t0: [11:00:00 16/01/2014] tf: [10:00:00 17/01/2014] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4239376 hi: 24795 t0: [11:00:00 16/01/2014] tf: [10:00:00 17/01/2014] mn: Diazepam pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4239377 hi: 24795 t0: [11:00:00 16/01/2014] tf: [10:00:00 17/01/2014] mn: Diazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Auditory Disturbance t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [06:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: sum st: NotStopd id: Risk for Falls t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #2 Insert Date t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Heparin t0: [10:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Void t0: [11:00:00 16/01/2014] el: 1 cg: CoWker cu: CCU vo: 400 vu: ml
id: Fingerstick Glucose t0: [11:30:00 16/01/2014] el: 0 cg: CoWker cu: CCU v1: 159 n1: 159 rs: Manual st: NotStopd
id: IV #2 Reason DC'D t0: [12:00:00 16/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4239817 hi: 24795 t0: [13:00:00 16/01/2014] tf: [18:00:00 18/01/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Aggitation t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: .. st: NotStopd id: Anxiety t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: ... st: NotStopd id: Ataxia t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: sum st: NotStopd id: Drowsiness t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Seizure t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Sustained Nystamus t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Mod w/arm extend st: NotStopd id: Visual Disturbances t0: [13:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Risk for Falls t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 16 n2: 16 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 16 n2: 16 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Pain st: NotStopd id: LLE Temp/Color t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #2 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #2 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Precautions t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 170 n2: 170 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 16/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 16/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 320 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 29 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 16/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 29 vu: ml id: Urine Out Void t0: [13:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Heparin t0: [12:00:00 16/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 322 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 2880 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 2880 ac: 24 ap: carryForward re: 0
id: Po Intake t0: [11:00:00 16/01/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 1402 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 1080 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: -1478 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: -2716.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/01/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0
ci: 37467 t0: [20:59:00 14/01/2014] cu: CCU de: Regular ward dt: 3950
pi: 4240258 hi: 24795 t0: [16:00:00 16/01/2014] tf: [20:00:00 16/01/2014] mn: Hydromorphone pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4240259 hi: 24795 t0: [16:00:00 16/01/2014] tf: [20:00:00 16/01/2014] mn: Hydromorphone pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4240260 hi: 24795 t0: [16:00:00 16/01/2014] tf: [18:00:00 18/01/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4241428 hi: 24795 t0: [21:00:00 16/01/2014] tf: [18:00:00 18/01/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4242708 hi: 24795 t0: [10:00:00 17/01/2014] tf: [18:00:00 18/01/2014] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4242709 hi: 24795 t0: [10:00:00 17/01/2014] tf: [18:00:00 18/01/2014] mn: Metoprolol XL pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4242710 hi: 24795 t0: [10:00:00 18/01/2014] tf: [18:00:00 18/01/2014] mn: Digoxin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4242711 hi: 24795 t0: [11:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Diazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q12H:PRN di: Ongoing xv: 36 xu: Hours pi: 4242712 hi: 24795 t0: [11:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Diazepam pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H:PRN di: Ongoing xv: 36 xu: Hours pi: 4242713 hi: 24795 t0: [11:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: Q6H ds: 11, 17, 23, 5 dn: 4 dt: 4 di: Doses xv: 36 xu: Hours pi: 4242714 hi: 24795 t0: [11:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4244390 hi: 24795 t0: [19:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4244887 hi: 24795 t0: [22:00:00 17/01/2014] tf: [09:00:00 18/01/2014] mn: Zolpidem Tartrate pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4244919 hi: 24795 t0: [22:00:00 17/01/2014] tf: [18:00:00 18/01/2014] mn: Heparin pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4246098 hi: 24795 t0: [10:00:00 18/01/2014] tf: [18:00:00 18/01/2014] mn: Diazepam pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN ds: 10 di: Ongoing xv: 36 xu: Hours pi: 4246099 hi: 24795 t0: [10:00:00 18/01/2014] tf: [18:00:00 18/01/2014] mn: Diazepam pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4246129 hi: 24795 t0: [22:00:00 18/01/2014] tf: [18:00:00 18/01/2014] mn: Warfarin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours