This log is also available as text (208cc.txt) and as a (binary) annotation file (208cc.log).
Generated: Thursday, 23-Apr-2009 00:35:07 EDT
(All dates below are surrogates.)
id: Service Type t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [16:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 192 n1: 192 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Position t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Assistance Device t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Assistance Device t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 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: [16:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 39.5 n1: 39.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Temperature F t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 103.1 n1: 103.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Verbal Response t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [17:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Stool t0: [15:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Stool Out Stool t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Oral Gastric t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Diltiazem t0: [18:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 10 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 1600 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Position Change t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Behavior t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Unresponsive st: NotStopd
id: D5W 125.0ml + 125mghr Diltiazem t0: [16:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fingerstick Glucose t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Art.pH t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:22:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [18:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml
id: Service Type t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [19:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml
id: Temp. Site t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 39.3889 n1: 39.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 102.9 n1: 102.9 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 09/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [20:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [19:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Temp. Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 39.2222 n1: 39.2222 u1: Deg. C st: NotStopd
id: TF Residual t0: [20:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 3 vu: ml id: Gastric Meds t0: [20:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml
pi: 3658669 hi: 23407 t0: [21:00:00 09/06/2017] tf: [20:00:00 10/06/2017] mn: Acetaminophen pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3658724 hi: 23407 t0: [21:00:00 09/06/2017] tf: [22:00:00 22/06/2017] mn: Meropenem pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q24H ds: 20 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Family Communication t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Urine Out Foley t0: [21:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: ETT Mark/Location t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [21:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Procedures t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pan Cultured st: NotStopd id: Temp. Site t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [21:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [22:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [19:00:00 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: Diltiazem t0: [20:00:00 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: Diltiazem t0: [21:00:00 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: Diltiazem t0: [22:00:00 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: Service Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 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: [23:00:00 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: [23:00:00 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: [23:00:00 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: [23:00:00 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: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [23:00:00 09/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Gastric Meds t0: [22:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [23:00:00 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: IV Infusion In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 20 cv: 510.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 20 cv: 850.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 218 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: -977.75 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: -8390.09 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 1828 ac: 24 ap: carryForward re: 0
id: Temp. Site t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Chest PT R/L t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: DONE id: Bowel Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [00:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [01:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 12 vu: ml
id: Diltiazem t0: [01:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: ETT Mark/Location t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [01:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [02:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [01:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [03:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 12 vu: ml
id: Diltiazem t0: [03:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 15 cv: 723 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: 1343 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [03:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Total Hourly Output t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 0 cv: 225 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: -182 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: -8572.09 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 0 cv: 1525 ac: 24 ap: none re: 0
pi: 3659535 hi: 23407 t0: [04:00:00 10/06/2017] tf: [03:00:00 11/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Ionized Calcium t0: [03:24:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.01 n1: 1.01 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [04:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 12 vu: ml
id: Diltiazem t0: [04:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: D5W 100.0ml t0: [04:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [04:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [04:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [04:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: WBC (4-11,000) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.3 n1: 19.3 rs: Final st: NotStopd id: WBC t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.3 n1: 19.3 rs: Final st: NotStopd id: Hematocrit t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 240 n1: 240 rs: Final st: NotStopd id: RBC t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.11 n1: 3.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.3 n1: 19.3 rs: Final st: NotStopd
id: D5W 100.0ml t0: [04:30:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Temp. Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: PT t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: INR t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.6 n1: 23.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: PTT(22-35) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.6 n1: 23.6 rs: Final st: NotStopd
id: Calcium t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Glucose (70-105) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [05:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [05:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: BUN t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Chloride t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: Phosphorous t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: ETT Mark/Location t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [06:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [05:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Diltiazem t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: RSBI (<100) t0: [06:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.1818 n1: 38.1818 u1: units st: NotStopd id: RSBI (<200) t0: [06:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.1818 n1: 38.1818 u1: units st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.55 n1: 0.55 u1: L st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 10/06/2017] el: 0 cg: CoWork cu: CSRU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [07:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [07:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 st: NotStopd id: Tank B psi. t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 528 n1: 528 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:30:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: FiO2 Set t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Level of Conscious t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [08:00:00 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [08:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Diltiazem t0: [08:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [08:17:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [08:17:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [09:00:00 10/06/2017] 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: [09:00:00 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Skin Care t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [09:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [09:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [09:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Diltiazem t0: [09:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank B psi. t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:41:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 3660606 hi: 23407 t0: [13:00:00 10/06/2017] tf: [22:00:00 22/06/2017] mn: Nystatin Cream pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: TID:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 10/06/2017] 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 10/06/2017] 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: [12:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [12:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [12:00:00 10/06/2017] 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: [10:00:00 10/06/2017] 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 10/06/2017] 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: [12:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [12:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Diltiazem t0: [10:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [11:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [12:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 10/06/2017] el: 0 cg: CoWker cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
pi: 3660692 hi: 23407 t0: [14:00:00 10/06/2017] tf: [22:00:00 22/06/2017] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3660693 hi: 23407 t0: [10:00:00 10/06/2017] tf: [17:00:00 11/06/2017] mn: Clonidine TTS 1 Patch pt: Unit Dose st: Inactive (Due to a change order) rt: TD fr: QSAT ds: 10 dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: PEEP Set t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 197 n1: 197 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [13:00:00 10/06/2017] 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: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 599 n1: 599 u1: ml/B st: NotStopd id: Ventilator Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [13:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Diltiazem t0: [13:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Vancomycin/Random t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: PEEP Set t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [14:00:00 10/06/2017] 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: [14:00:00 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 577 n1: 577 u1: ml/B st: NotStopd id: Ventilator Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [14:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Art.pH t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 152 n1: 152 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Airway Size t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Level of Conscious t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PEEP Set t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [15:00:00 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Pattern t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: SpO2 t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Urine Color/Appear t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [15:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Diltiazem t0: [15:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: ETT Mark/Location t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank B psi. t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 498 n1: 498 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:48:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 3661089 hi: 23407 t0: [17:00:00 10/06/2017] tf: [16:00:00 11/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Position Change t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: FiO2 Set t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Activity t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 183 n1: 183 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Position t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Pressure Support t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [16:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 535 n1: 535 u1: ml/B st: NotStopd id: Turn t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Ventilator Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Vivonex t0: [16:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vu: ml st: Restart id: .9% Normal Saline 1000.0ml t0: [16:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [16:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Diltiazem t0: [16:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
pi: 3661215 hi: 23407 t0: [18:00:00 10/06/2017] tf: [13:00:00 13/06/2017] mn: Terazosin HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: D5W 125.0ml + 125mghr Diltiazem t0: [16:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml nb: 1
id: Differential-Bands t0: [03:07:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Arterial BP t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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: [17:00:00 10/06/2017] 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: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [17:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: Health Care Proxy t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Gastric v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#4 Type/Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: INV#4 Dsg Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Pressure Support t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Pattern t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: INV#2 Cap Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Tidal Volume (Spont) t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 433 n1: 433 u1: ml/B st: NotStopd id: Turn t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 rs: Manual st: NotStopd id: Bowel Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [18:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Vivonex t0: [18:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [18:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: Urine Out Foley t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 3 vu: ml
id: Diltiazem t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0
id: Vancomycin/Random t0: [14:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 rs: Final st: NotStopd
id: ETT Mark/Location t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: PEEP Set t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 376 n1: 376 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Pain Assess Method t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 182 n1: 182 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Respiratory Rate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 39.1667 n1: 39.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 102.5 n1: 102.5 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [20:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Vivonex t0: [20:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [20:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Diltiazem t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: GI Prophylaxis t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral Ulcers st: NotStopd id: Orientation t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: CVP t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Procedures t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd
id: Service Type t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Assistance Device t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [21:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: done
id: Vivonex t0: [21:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [21:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Diltiazem t0: [21:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU cv: 490 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [22:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [22:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Diltiazem t0: [22:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] 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 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [23:00:00 10/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [23:00:00 10/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Diltiazem t0: [23:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 20 cv: 130 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: PEEP Set t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 430 n1: 430 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Range of Motion t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral Ulcers st: NotStopd id: Orientation t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Source/Amt t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Color/Consist t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Stool Management t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 19 n2: 19 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 39.1667 n1: 39.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 102.5 n1: 102.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Vivonex t0: [00:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: Vivonex t0: [01:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [00:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [01:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: Urine Out Foley t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Diltiazem t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 820 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 1250 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Service Type t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Position t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/06/2017] 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: [02:00:00 11/06/2017] 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 11/06/2017] 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: [02:00:00 11/06/2017] 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 11/06/2017] 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: [02:00:00 11/06/2017] 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 11/06/2017] 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: [02:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Restraint Location t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: Vivonex t0: [02:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [02:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Diltiazem t0: [01:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [02:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Respiratory Rate t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd
id: Service Type t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 186 n1: 186 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:15:00 11/06/2017] 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: [02:15:00 11/06/2017] 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: [02:15:00 11/06/2017] 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: [02:15:00 11/06/2017] 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: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:15:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [02:15:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 193 n1: 193 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [03:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [03:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Diltiazem t0: [03:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 34.7826 n1: 34.7826 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 34.7826 n1: 34.7826 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.46 n1: 0.46 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 633 n1: 633 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Pain Assess Method t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral Ulcers st: NotStopd id: Orientation t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 196 n1: 196 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Vivonex t0: [04:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 20 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [04:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 4 vu: ml
id: Diltiazem t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: TF Residual t0: [04:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 45 vu: ml
id: Art.pH t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:52:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: WBC t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: Hematocrit t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 246 n1: 246 rs: Final st: NotStopd id: RBC t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 18.9 n1: 18.9 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [05:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: PT t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: INR t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25.4 n1: 25.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25.4 n1: 25.4 rs: Final st: NotStopd
id: BUN t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Albumin t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Calcium t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: Glucose t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Total Bili t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Amylase t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: BUN (6-20) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Differential-Bands t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [06:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [06:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 20 vu: ml id: GT Flush t0: [06:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Stool Out Stool t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: Stool Out Stool t0: [06:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [06:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Gastric Oral Gastric t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Diltiazem t0: [06:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 45 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Reason For Restraint t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Restraint Location t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Sputum Source/Amt t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd
id: Service Type t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [07:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [07:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Diltiazem t0: [07:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral Ulcers st: NotStopd id: Orientation t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [08:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Temp. Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Turn t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Vivonex t0: [08:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [08:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [08:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [08:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: Apnea Time Interval t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Tank A psi. t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Vancomycin/Random t0: [04:45:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20.9 n1: 20.9 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Airway Size t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PEEP Set t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Precautions t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Pressure Support t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [09:00:00 11/06/2017] 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: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Resp Rate (Total) t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: INV#2 Cap Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 475 n1: 475 u1: ml/B st: NotStopd id: Ventilator Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [09:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: done
id: Vivonex t0: [09:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [09:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [09:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [10:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 546 n1: 546 u1: ml/B st: NotStopd id: Turn t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [10:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [10:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [10:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
pi: 3662963 hi: 23407 t0: [12:00:00 11/06/2017] tf: [13:00:00 13/06/2017] mn: Verapamil HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: PEEP Set t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Arterial BP t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [11:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 449 n1: 449 u1: ml/B st: NotStopd id: Ventilator Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vivonex t0: [11:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [11:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [11:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Urine Out Foley t0: [11:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral Ulcers st: NotStopd id: Orientation t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [12:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 209 n1: 209 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Vivonex t0: [12:00:00 11/06/2017] el: 1 ai: 823 cg: RN cu: CSRU vo: 40 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [12:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Diltiazem t0: [12:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 370 ac: 24 ap: none re: 0
id: D5W 125.0ml + 125mghr Diltiazem t0: [12:00:00 11/06/2017] el: 1 ai: 114 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: Extubation Date t0: [12:34:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: FiO2 Set t0: [12:34:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [12:34:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: Aerosol-Cool st: NotStopd id: SpO2 t0: [12:34:00 11/06/2017] el: 0 cg: RT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd
id: Service Type t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 11/06/2017] 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: [12:30:00 11/06/2017] 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: [12:30:00 11/06/2017] 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: [12:30:00 11/06/2017] 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: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [12:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [12:30:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: IV #1 Insert Date t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: Art.pH t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:49:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
pi: 3663241 hi: 23407 t0: [14:00:00 11/06/2017] tf: [09:00:00 12/06/2017] mn: Sevelamer 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: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: FiO2 Set t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: O2 Delivery Device t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: Arterial BP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [13:00:00 11/06/2017] 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: [13:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Ventilator Type t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: FiO2 Set t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Activity t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: O2 Delivery Device t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Assistance Device t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [14:00:00 11/06/2017] 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: [14:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Ventilator Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 3663487 hi: 23407 t0: [16:00:00 11/06/2017] tf: [09:00:00 12/06/2017] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q 8H ds: 08, 16, 00 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Heart Rate t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: O2 Delivery Device t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Arterial BP t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [15:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [16:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: HOB t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: O2 Delivery Device t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Assistance Device t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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: [17:00:00 11/06/2017] 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: [17:00:00 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Ventilator Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
pi: 3663655 hi: 23407 t0: [10:00:00 17/06/2017] tf: [21:00:00 11/06/2017] mn: Clonidine TTS pt: Unit Dose st: Inactive (Due to a change order) rt: TD fr: QSAT ds: 10 dn: 0 di: Ongoing xv: 36 xu: Hours pi: 3663656 hi: 23407 t0: [10:00:00 11/06/2017] tf: [11:00:00 13/06/2017] mn: NIFEdipine CR pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:59:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Heart Rate t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: O2 Delivery Device t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Arterial BP t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 188 n1: 188 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
io: D5/.45NS el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Po Intake t0: [18:00:00 11/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 3663773 hi: 23407 t0: [19:00:00 11/06/2017] tf: [05:00:00 12/06/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
id: Stool Out Stool t0: [18:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: D5/.45NS t0: [18:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vu: ml nb: 1
id: IV Infusion In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 740 ac: 24 ap: none re: 0
id: Pain Present t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: ETT Mark/Location t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Opening t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 186 n1: 186 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Position t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [20:00:00 11/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [20:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Diltiazem t0: [13:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [14:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [15:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [16:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [17:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [18:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip
id: 24h Total In t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 1930 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 217 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 418 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: -8154.09 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 1512 ac: 24 ap: none re: 0
pi: 3664145 hi: 23407 t0: [10:00:00 17/06/2017] tf: [22:00:00 22/06/2017] mn: Clonidine TTS 1 Patch pt: Unit Dose st: Discontinued via patient discharge rt: TD fr: QSAT ds: 10 dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 189 n1: 189 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3664195 hi: 23407 t0: [23:00:00 11/06/2017] tf: [04:00:00 12/06/2017] mn: HydrALAZINE HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 194 n1: 194 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] 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 11/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI#1 Intub Site t0: [00:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [00:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: ETT Mark/Location t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Opening t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Stool Out Stool t0: [00:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [00:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 690 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 930 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU cv: 740 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 346 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: -3856 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: -12010.1 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 4786 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 189 n1: 189 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3664600 hi: 23407 t0: [05:00:00 12/06/2017] tf: [13:00:00 12/06/2017] mn: HydrALAZINE HCl pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:59:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Hematocrit t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28.4 n1: 28.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 275 n1: 275 rs: Final st: NotStopd id: RBC t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd
id: Service Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 187 n1: 187 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [00:00:00 12/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [01:00:00 12/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [02:00:00 12/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [03:00:00 12/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [04:00:00 12/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml st: Stopped id: D5/.45NS t0: [19:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [20:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [21:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [22:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS t0: [23:00:00 11/06/2017] el: 1 ai: 112 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [04:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: WBC (4-11,000) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.9 n1: 19.9 rs: Final st: NotStopd id: WBC t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.9 n1: 19.9 rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.9 n1: 19.9 rs: Final st: NotStopd
id: PT t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: INR t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25.8 n1: 25.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25.8 n1: 25.8 rs: Final st: NotStopd
id: BUN t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Calcium t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Glucose t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd
id: Chloride t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Potassium t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: ETT Mark/Location t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Opening t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Level of Conscious t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [00:00:00 12/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: Po Intake t0: [04:00:00 12/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Po Intake t0: [06:00:00 12/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [06:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: Urine Out Foley t0: [06:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 24 vu: ml
id: Vancomycin/Random t0: [03:42:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd
id: INV#2Chg o/Wire Date t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Cuff Pressure-Airway t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Site Date t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Intubation Date t0: [09:00:00 12/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3665111 hi: 23407 t0: [16:00:00 12/06/2017] tf: [16:00:00 13/06/2017] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q 8H ds: 08, 16, 00 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3665145 hi: 23407 t0: [20:00:00 12/06/2017] tf: [22:00:00 22/06/2017] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [09:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 D/C Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: LLL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 188 n1: 188 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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: [09:00:00 12/06/2017] 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: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Cap Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [09:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: Done id: Bowel Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [09:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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: [10:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: Alarms t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Ionized Calcium t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.12 n1: 1.12 rs: Final st: NotStopd
id: Pain Present t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Education Barrier t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Extubation Date t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Opening t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 12/06/2017] 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: [12:00:00 12/06/2017] 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 12/06/2017] 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: [12:00:00 12/06/2017] 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 12/06/2017] 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: [12:00:00 12/06/2017] 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: [11:00:00 12/06/2017] 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: [12:00:00 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Pupil Response R/L t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Fingerstick Glucose t0: [12:00:00 12/06/2017] el: 0 cg: CoWork cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Art.pH t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:47:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
pi: 3665772 hi: 23407 t0: [14:00:00 12/06/2017] tf: [13:00:00 13/06/2017] mn: Fluconazole pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3665918 hi: 23407 t0: [14:00:00 12/06/2017] tf: [13:00:00 13/06/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3665920 hi: 23407 t0: [14:00:00 12/06/2017] tf: [11:00:00 13/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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: [13:00:00 12/06/2017] 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: [13:00:00 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Ultrafiltrate Ultrafiltrate t0: [14:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 3700 vu: ml
id: UltrafiltrateTotal t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU cv: 3700 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Art.pH t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Code Status t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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: [15:00:00 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:13:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: BUN t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 74 n1: 74 rs: Final st: NotStopd id: Calcium t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Glucose t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 74 n1: 74 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:44:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 12/06/2017] el: 0 cg: CoWork cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: HOB t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GU Catheter Size t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: Heart Rate t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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: [14:00:00 12/06/2017] 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 12/06/2017] 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: [14:00:00 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Hemodialysis end st: NotStopd id: Respiratory Rate t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#3 Type/Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd
id: Service Type t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 12/06/2017] 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: [21:00:00 12/06/2017] 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 12/06/2017] 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: [21:00:00 12/06/2017] 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 12/06/2017] 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: [21:00:00 12/06/2017] 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 12/06/2017] 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: [21:00:00 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Pain Present t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Chest PT R/L t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Daily Wake Up t0: [20:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Pupil Response R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [21:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: DONE id: Behavior t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [20:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] 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 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Fingerstick Glucose t0: [00:00:00 13/06/2017] el: 0 cg: NA cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Po Intake t0: [20:00:00 12/06/2017] el: 2 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: PO/Gastric In Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU cv: 240 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 3667863 hi: 23407 t0: [04:00:00 13/06/2017] tf: [03:00:00 14/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 129 n1: 129 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Ionized Calcium t0: [03:00:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.09 n1: 1.09 rs: Final st: NotStopd
id: D5W 100.0ml t0: [02:00:00 13/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Urine Out Foley t0: [02:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: WBC (4-11,000) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.8 n1: 23.8 rs: Final st: NotStopd id: WBC t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.8 n1: 23.8 rs: Final st: NotStopd id: Hematocrit t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 269 n1: 269 rs: Final st: NotStopd id: RBC t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.14 n1: 3.14 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.8 n1: 23.8 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: HOB t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: BUN t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 rs: Final st: NotStopd id: Calcium t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Glucose t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: PT t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.9 n1: 23.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23.9 n1: 23.9 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Stool Out Stool t0: [05:00:00 13/06/2017] el: 1 cg: NA cu: CSRU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 13/06/2017] el: 3 cg: NA cu: CSRU cv: 200 ac: 24 ap: none re: 0
id: Vancomycin/Random t0: [02:49:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fingerstick Glucose t0: [06:00:00 13/06/2017] el: 0 cg: NA cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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: [08:00:00 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Temp. Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd
id: Pain Present t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [09:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Method t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Care t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: HOB t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 183 n1: 183 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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: [09:00:00 13/06/2017] 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: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 29 vu: ml
id: Service Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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: [10:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 3668818 hi: 23407 t0: [10:00:00 13/06/2017] tf: [22:00:00 22/06/2017] mn: NIFEdipine CR pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 3669318 hi: 23407 t0: [14:00:00 13/06/2017] tf: [22:00:00 22/06/2017] mn: Terazosin HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3669321 hi: 23407 t0: [20:00:00 13/06/2017] tf: [20:00:00 13/06/2017] mn: Verapamil HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Extubation Date t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Eye Opening t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: GU Catheter Size t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 18 French st: NotStopd id: Heart Rate t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 16 n2: 16 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Left Subclavian st: NotStopd id: INV Line#4InsertDate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 17 n2: 17 st: NotStopd id: INV Line#4SiteAppear t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 174 n1: 174 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: INV#4 Dsg Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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: [13:00:00 13/06/2017] 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 13/06/2017] 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: [13:00:00 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#3 Cap Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: INV#4 Cap Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Urine Color/Appear t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
pi: 3669804 hi: 23407 t0: [17:00:00 13/06/2017] tf: [06:00:00 14/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3669810 hi: 23407 t0: [00:00:00 13/06/2017] tf: [16:00:00 14/06/2017] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q 8H ds: 08, 16, 00 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 v2: 21 n2: 21 st: NotStopd id: Heart Rate t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Arterial BP t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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: [15:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Ventilator Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: HOB t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Theradyne st: NotStopd id: Turn t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
pi: 3670775 hi: 23407 t0: [04:00:00 13/06/2017] tf: [22:00:00 22/06/2017] mn: Verapamil HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/06/2017] 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: [21:00:00 13/06/2017] 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 13/06/2017] 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: [21:00:00 13/06/2017] 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 13/06/2017] 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: [21:00:00 13/06/2017] 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 13/06/2017] 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: [21:00:00 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 3670974 hi: 23407 t0: [23:00:00 13/06/2017] tf: [22:00:00 22/06/2017] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] 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 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 330 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 330 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 474 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: -344 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: -12354.1 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: -1 cv: -12354.1 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 674 ac: 24 ap: none re: 0
ci: 32506 t0: [18:04:00 08/06/2017] cu: CSRU de: Regular ward dt: 11943
pi: 3671746 hi: 23407 t0: [07:00:00 14/06/2017] tf: [22:00:00 22/06/2017] mn: Metoclopramide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours
pi: 3672089 hi: 23407 t0: [10:00:00 14/06/2017] tf: [22:00:00 22/06/2017] mn: Sarna Lotion pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: TID:PRN di: Ongoing xv: 36 xu: Hours
pi: 3672208 hi: 23407 t0: [14:00:00 14/06/2017] tf: [16:00:00 14/06/2017] mn: Sevelamer pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3672209 hi: 23407 t0: [14:00:00 14/06/2017] tf: [22:00:00 22/06/2017] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 3673401 hi: 23407 t0: [00:00:00 14/06/2017] tf: [12:00:00 17/06/2017] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Discontinued rt: PO fr: Q 8H ds: 08, 16, 00 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 3682238 hi: 23407 t0: [14:00:00 17/06/2017] tf: [22:00:00 22/06/2017] mn: Calcium Carbonate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 3684978 hi: 23407 t0: [18:00:00 18/06/2017] tf: [22:00:00 22/06/2017] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 18 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 3692249 hi: 23407 t0: [14:00:00 21/06/2017] tf: [22:00:00 22/06/2017] mn: Sevelamer pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours