This log is also available as text (208ac.txt) and as a (binary) annotation file (208ac.log).
Generated: Thursday, 23-Apr-2009 00:35:06 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 05/06/2017] el: 0 cg: LCP cu: LCP at MIT n1: 17
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CSRU ra: 50 ru: ml/hr
pi: 3642920 hi: 23407 t0: [19:00:00 05/06/2017] tf: [11:00:00 13/06/2017] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3642921 hi: 23407 t0: [19:00:00 05/06/2017] tf: [18:00:00 05/06/2017] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 3642922 hi: 23407 t0: [10:00:00 05/06/2017] tf: [18:00:00 05/06/2017] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3642923 hi: 23407 t0: [20:00:00 05/06/2017] tf: [10:00:00 14/06/2017] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3642924 hi: 23407 t0: [19:00:00 05/06/2017] tf: [22:00:00 22/06/2017] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 3642938 hi: 23407 t0: [19:00:00 05/06/2017] tf: [22:00:00 05/06/2017] mn: Fentanyl Citrate pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3642939 hi: 23407 t0: [20:00:00 05/06/2017] tf: [18:00:00 05/06/2017] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: NG fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3642998 hi: 23407 t0: [19:00:00 05/06/2017] tf: [05:00:00 06/06/2017] mn: Midazolam HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 3642999 hi: 23407 t0: [20:00:00 05/06/2017] tf: [09:00:00 06/06/2017] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Discontinued rt: NG fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Daily Weight t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Alarms t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: Abdominal Assessment t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: LLL Lung Sounds t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: RLL Lung Sounds t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:15:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:15:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vu: ml nb: 1
id: Compliance (40-60ml) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:3.6 st: NotStopd id: Airway Size t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 715 n1: 715 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Readmit <48 hrs t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: CVP Alarm (Lo/Hi) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Service Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rhythm t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: BSA t0: [19:47:00 05/06/2017] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [19:47:00 05/06/2017] el: 1032 cg: -1 cu: CSRU v1: 99 n1: 99 u1: kg id: Allergy 1 t0: [19:47:00 05/06/2017] el: 1020 cg: -1 cu: CSRU id: Diagnosis/op t0: [19:47:00 05/06/2017] el: 1023 cg: -1 cu: CSRU id: Service t0: [19:47:00 05/06/2017] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [19:47:00 05/06/2017] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [19:47:00 05/06/2017] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [19:47:00 05/06/2017] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [19:47:00 05/06/2017] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [19:47:00 05/06/2017] el: 1021 cg: -1 cu: CSRU id: Ext t0: [19:47:00 05/06/2017] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [19:47:00 05/06/2017] el: 1022 cg: -1 cu: CSRU
id: Code Status t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Precautions t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 23.8 vu: ml
id: Propofol t0: [19:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Glucose t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Lactic Acid t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Ionized Calcium t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Venous CO2(Calc) t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Venous PvCO2 t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [19:52:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.23 n1: 7.23 u1: pH rs: Final st: NotStopd
id: WBC (4-11,000) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: WBC t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: Hematocrit t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
pi: 3643324 hi: 23407 t0: [21:00:00 05/06/2017] tf: [20:00:00 06/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: INR t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: PTT(22-35) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.2 n1: 23.2 rs: Final st: NotStopd
id: BUN t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Albumin t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Glucose t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Total Bili t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 rs: Final st: NotStopd id: Albumin (>3.2) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Amylase t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: BUN (6-20) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 545 n1: 545 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:50:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 23.76 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: INV Line#1SiteAppear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: D5W 100.0ml t0: [20:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Differential-Bands t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd
id: Platelets t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 611 n1: 611 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 05/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 3643692 hi: 23407 t0: [23:00:00 05/06/2017] tf: [07:00:00 09/06/2017] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 05/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3643910 hi: 23407 t0: [00:00:00 06/06/2017] tf: [22:00:00 22/06/2017] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3643911 hi: 23407 t0: [00:00:00 06/06/2017] tf: [09:00:00 06/06/2017] mn: Ceftriaxone pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Foley t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Total Hourly Output t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 85 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 85 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 06/06/2017] el: 0 cg: CoWkr cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd id: Venous CO2(Calc) t0: [00:00:00 06/06/2017] el: 0 cg: CoWkr cu: CSRU v1: / rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Pain Assess Method t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Education Topic #1 t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Procedures t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Urine Out Foley t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 557 n1: 557 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: IV Infusion In Total t0: [23:00:00 05/06/2017] el: 3 cg: RRT cu: CSRU pv: 35 cv: 246.56 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/06/2017] el: 3 cg: RRT cu: CSRU pv: 35 cv: 246.56 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RRT cu: CSRU pv: 30 cv: 161.56 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RRT cu: CSRU pv: 30 cv: 161.56 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/06/2017] el: 3 cg: RRT cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 06/06/2017] el: 1 ai: 416 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: INV Line#1InsertDate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 12 n2: 12 st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 12 n2: 12 st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Triglyceride t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 713 n1: 713 rs: Final st: NotStopd id: Triglyceride (0-200) t0: [19:31:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 713 n1: 713 rs: Final st: NotStopd
id: INV Line#1 Type/Site t0: [02:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [02:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [02:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#2 Cap Change t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: calprevflg t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 23 cv: 1251 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 23 cv: 1401 ac: 24 ap: none re: 0
id: Radiologic Study t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Urine Out Foley t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Total Hourly Output t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 34 cv: 34 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 34 cv: 509 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: -11 cv: 242 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: -11 cv: 403.56 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: -11 cv: -11 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 34 cv: 1159 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 468 n1: 468 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Glucose t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 rs: Final st: NotStopd id: Lactic Acid t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 rs: Final st: NotStopd id: Ionized Calcium t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.91 n1: 0.91 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Venous CO2(Calc) t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Venous PvCO2 t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [03:46:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.19 n1: 7.19 u1: pH rs: Final st: NotStopd
id: Urine Out Foley t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU v1: DONE id: Bowel Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3644330 hi: 23407 t0: [05:00:00 06/06/2017] tf: [04:00:00 07/06/2017] mn: Calcium Gluconate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: CVP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd
id: WBC (4-11,000) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: WBC t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.9 n1: 13.9 rs: Final st: NotStopd id: Hematocrit t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 rs: Final st: NotStopd id: RBC t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.16 n1: 3.16 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.9 n1: 13.9 rs: Final st: NotStopd
id: PT t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: INR t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd
id: BUN t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Glucose t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Total Bili t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: ALT t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 rs: Final st: NotStopd id: Amylase t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: BUN (6-20) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [05:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Glucose t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Lactic Acid t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Ionized Calcium t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.93 n1: 0.93 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:52:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: Chloride t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Potassium t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
pi: 3644359 hi: 23407 t0: [06:00:00 06/06/2017] tf: [07:00:00 09/06/2017] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Mean Airway Pressure t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 499 n1: 499 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:15:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: RSBI Not Completed t0: [05:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: No Spon Resp st: NotStopd
id: Glucose t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Ionized Calcium t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.01 n1: 1.01 rs: Final st: NotStopd id: Venous CO2(Calc) t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Venous PvCO2 t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [06:20:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: pH rs: Final st: NotStopd
id: Service Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Braden Activity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.23 n1: 7.23 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.23 n1: 7.23 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:30:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:30:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Gastric Oral Gastric t0: [08:30:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:30:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml
pi: 3644776 hi: 23407 t0: [10:00:00 06/06/2017] tf: [17:00:00 18/06/2017] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 3644815 hi: 23407 t0: [10:00:00 06/06/2017] tf: [13:00:00 10/06/2017] mn: Ceftriaxone pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3644816 hi: 23407 t0: [10:00:00 06/06/2017] tf: [09:00:00 07/06/2017] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3644817 hi: 23407 t0: [20:00:00 06/06/2017] tf: [09:00:00 12/06/2017] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: NG fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3644818 hi: 23407 t0: [10:00:00 06/06/2017] tf: [06:00:00 07/06/2017] mn: Senna pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 3644819 hi: 23407 t0: [10:00:00 06/06/2017] tf: [22:00:00 22/06/2017] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3644820 hi: 23407 t0: [10:00:00 06/06/2017] tf: [22:00:00 22/06/2017] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3644821 hi: 23407 t0: [14:00:00 06/06/2017] tf: [13:00:00 08/06/2017] mn: Sodium Bicarbonate pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3644822 hi: 23407 t0: [12:00:00 06/06/2017] tf: [13:00:00 11/06/2017] mn: Calcium Acetate pt: Unit Dose st: Discontinued rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 415 n1: 415 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Total PEEP Level t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: ETT Position Change t0: [10:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: CVP t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Abdominal Assessment t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: D5W 100.0ml t0: [10:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:45:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.25 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:45:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 37.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [10:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:45:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 6.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.25 vu: ml
id: Fentanyl t0: [09:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:45:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 300 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Position t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Fibrinogen t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 686 n1: 686 rs: Final st: NotStopd id: Previous Weight t0: [06:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous Weight t0: [09:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous Weight t0: [09:45:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous Weight t0: [10:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Fibrinogen (150-400) t0: [03:12:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 686 n1: 686 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [11:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [11:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26.4706 n1: 26.4706 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Total PEEP Level t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 06/06/2017] el: 0 cg: CoWork cu: CSRU v1: 89 n1: 89 rs: Manual st: NotStopd
pi: 3645654 hi: 23407 t0: [14:00:00 06/06/2017] tf: [13:00:00 07/06/2017] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3645655 hi: 23407 t0: [14:00:00 06/06/2017] tf: [13:00:00 07/06/2017] mn: Chlorothiazide pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 286 n1: 286 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Activity t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#2 Cap Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.19 n1: 7.19 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:49:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.19 n1: 7.19 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Total PEEP Level t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Level of Conscious t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Urine Source t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Braden Activity t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml id: Gastric Oral Gastric t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU cv: 650 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [15:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Art.pH t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.21 n1: 7.21 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -11 n1: -11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:18:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.21 n1: 7.21 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 19.5652 n1: 19.5652 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Previous Weight t0: [12:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous Weight t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Auto-PEEP Level t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Total PEEP Level t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Positive v2: 6 n2: 6 st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [16:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: calprevflg t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 rs: Manual st: NotStopd
id: Magnesium t0: [18:09:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Potassium t0: [18:09:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:09:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:09:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 22.5 n1: 22.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: calprevflg t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Education Barrier t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Bilious st: NotStopd id: HOB t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Service Type t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: FiO2 Set t0: [21:00:00 06/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
pi: 3647466 hi: 23407 t0: [23:00:00 06/06/2017] tf: [09:00:00 09/06/2017] mn: Metoclopramide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 23, 5, 11, 17 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 3647467 hi: 23407 t0: [23:00:00 06/06/2017] tf: [22:00:00 07/06/2017] mn: Lactulose pt: Unit Dose st: Expired rt: PR fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [22:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 34 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 06/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.1 n1: 15.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Plug st: NotStopd id: Sputum Source/Amt t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 493 n1: 493 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Total Bili t0: [23:16:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Diet Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity Tolerance t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: ALT t0: [23:16:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 rs: Final st: NotStopd id: Fingerstick Glucose t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Stool Out Stool t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [01:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [02:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 19.4 cv: 619.2 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 19.4 cv: 789.2 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 545 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 9.4 cv: -1995.8 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 9.4 cv: -1592.24 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 9.4 cv: 9.4 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 2785 ac: 24 ap: carryForward re: 0
id: Service Type t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [03:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [03:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 23.6842 n1: 23.6842 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 502 n1: 502 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Temp. Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Position Change t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Fingerstick Glucose t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [05:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [05:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:29:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: WBC t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: Hematocrit t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25.4 n1: 25.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: RBC t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.83 n1: 2.83 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd
id: PT t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: INR t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: PTT(22-35) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 rs: Final st: NotStopd
pi: 3648207 hi: 23407 t0: [08:00:00 07/06/2017] tf: [22:00:00 22/06/2017] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3648208 hi: 23407 t0: [08:00:00 07/06/2017] tf: [18:00:00 11/06/2017] mn: Lactulose pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3648209 hi: 23407 t0: [07:00:00 07/06/2017] tf: [06:00:00 08/06/2017] mn: Lactulose pt: Unit Dose st: Expired rt: PR fr: ONCE MR1 ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: BUN t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Creatinine t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: Glucose t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd id: Total Bili t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: ALT t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 rs: Final st: NotStopd id: Amylase t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: BUN (6-20) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Stool Out Stool t0: [02:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Stool Out Stool t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [06:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [06:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Chloride t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Potassium t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd
id: Gastric Oral Gastric t0: [06:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 07/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [07:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [07:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Type t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 3648400 hi: 23407 t0: [09:00:00 07/06/2017] tf: [22:00:00 22/06/2017] mn: Miconazole Powder 2% pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: QID:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 19 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Phosphorous t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:40:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 u1: mEq/L rs: Final st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: Risk for Falls t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Airway Size t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Oral Care t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Support Systems t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Therapeutic Bed t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: BSA t0: [09:34:00 07/06/2017] el: 1033 cg: -1 cu: CSRU id: Turn t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Ventilator Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Admit Wt t0: [09:34:00 07/06/2017] el: 1032 cg: -1 cu: CSRU v1: 99 n1: 99 u1: kg id: Allergy 1 t0: [09:34:00 07/06/2017] el: 1020 cg: -1 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [09:34:00 07/06/2017] el: 1023 cg: -1 cu: CSRU id: Service t0: [09:34:00 07/06/2017] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [09:34:00 07/06/2017] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [09:34:00 07/06/2017] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [09:34:00 07/06/2017] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [09:34:00 07/06/2017] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [09:34:00 07/06/2017] el: 1021 cg: -1 cu: CSRU id: Ext t0: [09:34:00 07/06/2017] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [09:34:00 07/06/2017] el: 1022 cg: -1 cu: CSRU
id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:30:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:30:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Stool Out Stool t0: [08:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Stool Out Stool t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:30:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.5 vu: ml
id: Fentanyl t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: FiO2 Set t0: [09:35:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: PEEP Set t0: [09:35:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd
id: Service Type t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:45:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:45:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:45:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.75 vu: ml
id: Fentanyl t0: [09:45:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Intub #1/Site t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Urine Source t0: [09:45:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0.3 vu: ml id: Urine Out Foley t0: [10:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Oral Gastric t0: [09:45:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.6 vu: ml
id: Midazolam t0: [10:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.2 vu: ml id: Urine Out Foley t0: [11:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Midazolam t0: [10:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Urine Source t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.2 vu: ml id: Urine Out Foley t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Midazolam t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 37.9 n1: 37.9 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 430 n1: 430 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Alarms t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Oral Care t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Reason For Restraint t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Back Care t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Stool Out Stool t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Large
pi: 3649182 hi: 23407 t0: [13:00:00 07/06/2017] tf: [12:00:00 08/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 3649618 hi: 23407 t0: [15:00:00 07/06/2017] tf: [15:00:00 07/06/2017] mn: Sodium Bicarbonate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Precautions t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:30:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:30:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 31.2 vu: ml id: Urine Out Foley t0: [15:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:30:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 8.4 vu: ml
id: Fentanyl t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Ectopy Frequency t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Temp. Site t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 460 n1: 460 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 07/06/2017] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 187 n1: 187 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Support Systems t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [16:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1.2 vu: ml
id: Fentanyl t0: [10:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:30:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: -10 n1: -10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 190 n1: 190 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:32:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd
id: FiO2 Set t0: [17:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: WBC (4-11,000) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: WBC t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: Hematocrit t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: RBC t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.91 n1: 2.91 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100.667 n1: 100.667 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Position Change t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Reason For Restraint t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#4 Cap Change t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Ultrafiltrate Ultrafiltrate t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 1500 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 4.8 vu: ml
id: UltrafiltrateTotal t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU cv: 1500 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [16:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: calprevflg t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 07/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Gastric Meds t0: [18:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
id: BUN t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Calcium t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: Glucose t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Magnesium t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:59:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 186 n1: 186 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 194 n1: 194 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Fentanyl t0: [19:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3651241 hi: 23407 t0: [21:00:00 07/06/2017] tf: [20:00:00 08/06/2017] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Alarms t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.8 n1: 37.8 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Auto-PEEP Level t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.04 n1: 0.04 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank B psi. t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 445 n1: 445 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Total PEEP Level t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 07/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [21:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Fentanyl t0: [21:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [22:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Fentanyl t0: [22:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Gastric Meds t0: [22:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: GT Flush t0: [22:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU cv: 170 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 07/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Fentanyl t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3651890 hi: 23407 t0: [01:00:00 08/06/2017] tf: [00:00:00 09/06/2017] mn: Lactulose pt: Unit Dose st: Expired rt: PR fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Gastric Oral Gastric t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Gastric Out Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU cv: 740 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [00:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [00:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.4 vu: ml
id: Fentanyl t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Education Barrier t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Fingerstick Glucose t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [01:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [02:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [02:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 23.5 cv: 598.9 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 43.5 cv: 968.9 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 20 cv: 250 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 15 cv: 289 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 28.5 cv: -5820.1 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 28.5 cv: -7412.34 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 28.5 cv: 28.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 15 cv: 6789 ac: 24 ap: carryForward re: 0
id: TF Residual t0: [02:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml
id: Tank A psi. t0: [02:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [02:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd
id: Art.pH t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 180 n1: 180 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:03:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: WBC t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: Hematocrit t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.4 n1: 26.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 rs: Final st: NotStopd id: RBC t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.98 n1: 2.98 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [03:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [03:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: BUN t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Albumin t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Calcium t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: Glucose t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Total Bili t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: ALT t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Amylase t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 rs: Final st: NotStopd id: BUN (6-20) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: Chloride t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Sodium t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Carbon Dioxide t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: PT t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.8 n1: 23.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [02:43:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.8 n1: 23.8 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Turn t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Vivonex t0: [04:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Guaiac t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd
id: D5W 100.0ml t0: [04:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [04:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 140 vu: ml id: Stool Out Stool t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Compliance (40-60ml) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26.4706 n1: 26.4706 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.8 n1: 37.8 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Auto-PEEP Level t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [05:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Stool t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Fingerstick Glucose t0: [06:00:00 08/06/2017] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [06:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [06:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [06:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:2.1 st: NotStopd id: Airway Size t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.6 n1: 15.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 505 n1: 505 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Education Readiness t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Airway Size t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Stool Management t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Vivonex t0: [09:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Verbal Response t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [10:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [10:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PEEP Set t0: [10:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: Pain Present t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [11:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.6 n1: 14.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 3653454 hi: 23407 t0: [14:00:00 08/06/2017] tf: [22:00:00 08/06/2017] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [12:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Vivonex t0: [14:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [14:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 24 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 3 vu: ml
id: Less Restrict Meas. t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Type/Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3InsertDate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4 Type/Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4InsertDate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Motor Response t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#4 Dsg Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Stool Management t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#4 Cap Change t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26.4706 n1: 26.4706 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Procedures t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hemodialysis end st: NotStopd id: Respiratory Rate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [15:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [16:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Ultrafiltrate Ultrafiltrate t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 4000 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [17:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: UltrafiltrateTotal t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU cv: 4000 ac: 24 ap: none re: 0
id: FiO2 Set t0: [18:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Temp. Site t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 190 n1: 190 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [18:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Stool Out Stool t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 1300 vu: ml
id: Fentanyl t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: NBP Alarm (Lo/Hi) t0: [18:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Daily Wake Up t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Alarms t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Pain Location t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd
id: Vivonex t0: [18:30:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:30:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:30:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:30:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.5 vu: ml
id: Education Barrier t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd
id: Service Type t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [19:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Vivonex t0: [19:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 0.5 vu: ml
id: Fentanyl t0: [19:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3654946 hi: 23407 t0: [20:00:00 08/06/2017] tf: [13:00:00 09/06/2017] mn: Diltiazem pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Chest PT R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: High Insp. Pressure t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.1 n1: 38.1 u1: Deg. C st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: Motor Response t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Position t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Pressure Support t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Restraint Location t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Sensitivity-Vent t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Side Rails t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 120 n1: 120 u1: ml/B st: NotStopd id: Turn t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Waveform-Vent t0: [20:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Vivonex t0: [20:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 3655306 hi: 23407 t0: [22:00:00 08/06/2017] tf: [11:00:00 13/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [21:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [20:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Stool Out Stool t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 900 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [21:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU cv: 2500 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [22:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [21:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [22:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Diltiazem io: D5W 125.0ml + 125mghr Diltiazem el: 100 cg: RN cu: CSRU am: 125 du: mghr rt: IV Drip
io: D5W 125.0ml + 125mghr Diltiazem el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: D5W 125.0ml + 125mghr Diltiazem t0: [22:00:00 08/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [22:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Temperature C (calc) t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd
id: Service Type t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [23:00:00 08/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [23:00:00 08/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 08/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Diltiazem t0: [23:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 09/06/2017] el: 0 cg: CoWkr cu: CSRU v1: 153 n1: 153 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Chest PT R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU v1: DONE id: Bowel Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [00:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Gastric Meds t0: [00:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [23:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Diltiazem t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 340 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.4 n1: 38.4 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.6 n1: 14.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Vivonex t0: [00:00:00 09/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vu: ml st: Stopped
id: Tube Feeds In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [01:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Diltiazem t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Stool t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: D5W 100.0ml t0: [22:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Less Restrict Meas. t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [00:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [02:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Diltiazem t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Procedures t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Culture/remarks st: NotStopd
id: Service Type t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [03:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Diltiazem t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Temp. Site t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd
pi: 3655959 hi: 23407 t0: [05:00:00 09/06/2017] tf: [04:00:00 10/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3655960 hi: 23407 t0: [08:00:00 09/06/2017] tf: [13:00:00 09/06/2017] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Temp. Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd
id: Art.pH t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: WBC t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 172 n1: 172 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Hematocrit t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.6 n1: 26.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: RBC t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.01 n1: 3.01 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd
id: Glucose t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Lactic Acid t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Ionized Calcium t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.01 n1: 1.01 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:59:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: D5W 125.0ml + 125mghr Diltiazem t0: [04:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vu: ml st: Stopped
id: Diltiazem t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip st: Stopped
id: D5W 100.0ml t0: [04:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [04:30:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: BUN t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Calcium t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: Glucose t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.1 n1: 9.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:49:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: No Spon Resp st: NotStopd id: ETT Mark/Location t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 460 n1: 460 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Stool Out Stool t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 09/06/2017] el: 0 cg: CoWkr cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: RSBI (<100) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 80.4878 n1: 80.4878 u1: units st: NotStopd id: ETT Mark/Location t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: RSBI (<200) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 80.4878 n1: 80.4878 u1: units st: NotStopd id: Resp Rate (Total) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.41 n1: 0.41 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Type t0: [06:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 205 n2: 205 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [07:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 09/06/2017] el: 1 ai: 416 cg: RN cu: CSRU vo: 1 vu: ml
id: Fentanyl t0: [07:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Minute Volume(Obser) t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 3656129 hi: 23407 t0: [08:00:00 09/06/2017] tf: [06:00:00 14/06/2017] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 3656130 hi: 23407 t0: [08:00:00 09/06/2017] tf: [06:00:00 14/06/2017] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours