This log is also available as text (209ac.txt) and as a (binary) annotation file (209ac.log).
Generated: Thursday, 23-Apr-2009 00:35:08 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 19/01/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
id: Art.pH t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 199 n1: 199 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Hematocrit t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: SaO2 t0: [14:12:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Integrelin io: D5W 100.0ml + 75mcgkgmin Integrelin el: 100 cg: RN cu: CCU am: 75 du: mcgkgmin rt: IV Drip
pi: 4377178 hi: 8869 t0: [16:00:00 19/01/2014] tf: [19:00:00 03/02/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4377179 hi: 8869 t0: [16:00:00 19/01/2014] tf: [07:00:00 20/01/2014] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4377180 hi: 8869 t0: [16:00:00 19/01/2014] tf: [10:00:00 20/01/2014] mn: Eptifibatide pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 18 di: Hours xv: 36 xu: Hours pi: 4377181 hi: 8869 t0: [16:00:00 19/01/2014] tf: [17:00:00 24/01/2014] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4377182 hi: 8869 t0: [16:00:00 19/01/2014] tf: [17:00:00 24/01/2014] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4377183 hi: 8869 t0: [10:00:00 19/01/2014] tf: [19:00:00 03/02/2014] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377184 hi: 8869 t0: [20:00:00 19/01/2014] tf: [17:00:00 19/01/2014] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4377185 hi: 8869 t0: [10:00:00 19/01/2014] tf: [19:00:00 03/02/2014] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377186 hi: 8869 t0: [16:00:00 19/01/2014] tf: [18:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 17.8571 n1: 17.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 557 n1: 557 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 296 n1: 296 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:10:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [15:18:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Respiratory Rate Set t0: [15:18:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd
id: Service Type t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diastolic Unloading t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: IABP Mean t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Assisted Systole t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Augmented Diastole t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg st: NotStopd id: BAEDP t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Systolic Unloading t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd
id: INV Line#1 Type/Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Integrelin t0: [16:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd
id: Urine Out Foley t0: [16:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 1350 vu: ml
id: GI#1 Intub Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Oral Cavity t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CCU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CCU am: 50 du: mghr rt: IV Drip
io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 1 cg: RN cu: CCU ra: 2 ru: ml/hr
pi: 4377290 hi: 8869 t0: [17:00:00 19/01/2014] tf: [11:00:00 28/01/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 17 dn: 1 di: Ongoing xu: Enter on Label pi: 4377313 hi: 8869 t0: [17:00:00 19/01/2014] tf: [17:00:00 19/01/2014] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4377356 hi: 8869 t0: [17:00:00 19/01/2014] tf: [16:00:00 20/01/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Midazolam t0: [16:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 188 n1: 188 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 188 n1: 188 rs: Final st: NotStopd id: Hematocrit t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: SaO2 t0: [16:39:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
pi: 4377417 hi: 8869 t0: [20:00:00 19/01/2014] tf: [09:00:00 24/01/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4377418 hi: 8869 t0: [10:00:00 19/01/2014] tf: [07:00:00 20/01/2014] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377419 hi: 8869 t0: [18:00:00 19/01/2014] tf: [18:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4377420 hi: 8869 t0: [22:00:00 19/01/2014] tf: [18:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377421 hi: 8869 t0: [08:00:00 19/01/2014] tf: [18:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377427 hi: 8869 t0: [18:00:00 19/01/2014] tf: [17:00:00 20/01/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diastolic Unloading t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: HOB t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: Heart Rate t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: PAP Mean t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [16:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml nb: 1 id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [17:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: Urine Out Foley t0: [17:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Midazolam t0: [17:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [17:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [14:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 11.2 n1: 11.2 rs: Manual st: NotStopd id: CaO2 t0: [14:12:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16.8014 n1: 16.8014 u1: ml/dl st: NotStopd id: CaO2 t0: [15:10:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 17.1021 n1: 17.1021 u1: ml/dl st: NotStopd id: CaO2 t0: [16:39:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16.6495 n1: 16.6495 u1: ml/dl st: NotStopd id: WBC t0: [14:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 11.2 n1: 11.2 rs: Manual st: NotStopd id: Hemoglobin t0: [14:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12.2 n1: 12.2 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: Platelets t0: [14:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 261 n1: 261 rs: Manual st: NotStopd id: SaO2 t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % rs: Manual st: NotStopd id: WBC (4-11,000) t0: [14:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 11.2 n1: 11.2 rs: Manual st: NotStopd
pi: 4377462 hi: 8869 t0: [19:00:00 19/01/2014] tf: [20:00:00 19/01/2014] mn: Nitroglycerin Patch pt: Unit Dose st: Discontinued rt: TD fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 211 n1: 211 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [18:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: Urine Out Foley t0: [18:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 360 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Service Type t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diastolic Unloading t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: PAP Mean t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [18:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [18:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 2.81407 n1: 2.81407 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: SaO2 t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 5.63553 n1: 5.63553 u1: L/min st: NotStopd
id: Tank A psi. t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [15:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [19:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: Urine Out Foley t0: [19:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 270 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
pi: 4377554 hi: 8869 t0: [20:00:00 19/01/2014] tf: [20:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4377555 hi: 8869 t0: [08:00:00 19/01/2014] tf: [20:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4377556 hi: 8869 t0: [17:00:00 19/01/2014] tf: [20:00:00 19/01/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: DINNER ds: 17 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Eye Opening t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Level of Conscious t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Verbal Response t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: IV #1 Reason DC'D t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Procedures t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd id: Radiologic Study t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [17:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Sputum Color/Consist t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml nb: 1
id: Fentanyl t0: [19:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [19:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 17.8571 n1: 17.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 2.8 n1: 2.8 st: NotStopd id: Airway Size t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau-Off t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 543 n1: 543 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4377620 hi: 8869 t0: [21:00:00 19/01/2014] tf: [09:00:00 27/01/2014] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diastolic Unloading t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: IABP Mean t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 19/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [20:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [21:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [20:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [20:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [20:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
id: Service Type t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: Level of Conscious t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Cath Lab Intake t0: [19:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 350 vu: ml id: contrast dye t0: [19:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 55 vu: ml id: Urine Out Foley t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Less Restrict Meas. t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Position Change t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Pain Present t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Code Status t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Augmented Diastole t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Systolic Unloading t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: % st: NotStopd id: calprevflg t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 160 n1: 160 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:48:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
id: Service Type t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Insert Date t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd
io: Carrier 250.0ml el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [22:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 19/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 19/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Insulin t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4377810 hi: 8869 t0: [23:00:00 19/01/2014] tf: [22:00:00 20/01/2014] mn: Insulin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Platelets t0: [21:38:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 228 n1: 228 rs: Final st: NotStopd
id: GU Cath Insert Date t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Support Systems t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Behavior t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml
id: Heparin t0: [20:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Carrier 250.0ml t0: [22:00:00 19/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [22:00:00 19/01/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 368.26 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 2495 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 2495 ac: 24 ap: none re: 0
id: FiO2 Set t0: [22:20:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Minute Volume(Obser) t0: [22:25:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [22:25:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:25:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:25:00 19/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd
id: BUN t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Creatinine t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 199 n1: 199 rs: Final st: NotStopd id: Magnesium t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: BUN (6-20) t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 199 n1: 199 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd
id: IV #1 Site/Size t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Fingerstick Glucose t0: [23:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: CPK/MB t0: [21:37:00 19/01/2014] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd
id: contrast dye t0: [00:00:00 20/01/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4378014 hi: 8869 t0: [01:00:00 20/01/2014] tf: [00:00:00 21/01/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Radiologic Study t0: [23:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: CT scan st: NotStopd
id: D5W 100.0ml t0: [00:00:00 20/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [00:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 25.92 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 4 vu: ml id: Carrier 250.0ml t0: [00:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Urine Out Foley t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Code Status t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Health Care Proxy t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: IABP Mean t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Augmented Diastole t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Systolic Unloading t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Insulin Guideline t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Airway Size t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5.3 n1: 5.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 457 n1: 457 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PAP Mean t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: Gastric Meds t0: [22:00:00 19/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [22:00:00 19/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml
id: 24h Total In t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 863.26 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 90 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: -1631.74 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: -1631.74 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 19/01/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: Temp. Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Position Change t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd id: Braden Activity t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [01:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: Carrier 250.0ml t0: [01:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 124 n1: 124 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:00:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: GU Cath Insert Date t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IABP Mean t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Level of Conscious t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: BAEDP t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Systolic Unloading t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: KneeImmobilizer/Loc t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #2 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #2 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [01:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd
id: D5W 100.0ml t0: [01:00:00 20/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Cough Reflex t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LLE Temp/Color t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLE Temp/Color t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: Pupil Response R/L t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLE Temp/Color t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd
id: Eye Care t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Service Type t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diastolic Unloading t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assisted Systole t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Urine Color/Appear t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [02:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [02:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Pain Level t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Assess Method t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Code Status t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Cause t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Procedural st: NotStopd id: Pain Level (Rest) t0: [21:00:00 19/01/2014] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Location t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Skin Integrity t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Insulin Guideline t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [02:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 rs: Manual st: NotStopd
id: Fentanyl t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Diastolic Unloading t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diastolic Unloading t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP Mean t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP Mean t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: Level of Conscious t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP Mean t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP Mean t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: PAP S/D t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Assisted Systole t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Assisted Systole t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Pupil Response R/L t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Augmented Diastole t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Augmented Diastole t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Augmented Diastole t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: BAEDP t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: BAEDP t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: SpO2 t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Systolic Unloading t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: % st: NotStopd id: Therapeutic Bed t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:05:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Behavior t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [02:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Fentanyl t0: [02:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:05:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:05:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [02:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [02:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [03:05:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:05:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:05:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: SaO2 t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diastolic Unloading t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP Mean t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: Level of Conscious t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Assisted Systole t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Augmented Diastole t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Augmented Diastole t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: BAEDP t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [03:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [03:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 163 n1: 163 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [03:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [04:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0.5 vu: ml id: Carrier 250.0ml t0: [03:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [04:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 6.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [03:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [03:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: LLL Lung Sounds t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Mixed Venous O2% Sat t0: [03:26:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: CaO2 t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 14.3881 n1: 14.3881 u1: ml/dl st: NotStopd id: Cardiac Index t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.42211 n1: 4.42211 u1: ... st: NotStopd id: DO2I t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 618.8 n1: 618.8 u1: ml/m/m st: NotStopd id: WBC t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: Hematocrit t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 30.7 n1: 30.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 212 n1: 212 rs: Final st: NotStopd id: RBC t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: C.O. (fick) t0: [03:26:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.83973 n1: 8.83973 u1: L/min st: NotStopd
id: PT t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 90.1 n1: 90.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 90.1 n1: 90.1 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Airway Size t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5.2 n1: 5.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau-Off t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 446 n1: 446 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [04:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [04:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 159 n1: 159 rs: Manual st: NotStopd
id: Insulin t0: [04:30:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Level of Conscious t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: PAP Mean t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Pain Location t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: % st: NotStopd id: calprevflg t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [05:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [05:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.25 vu: ml id: Carrier 250.0ml t0: [05:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: No Spon Resp st: NotStopd
id: CPK/MB t0: [03:12:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Service Type t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Intub #1/Site t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: Angio Appearance #1 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: Augmented Diastole t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Reason For Restraint t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Side Rails t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Urine Color/Appear t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [06:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.5 vu: ml id: Carrier 250.0ml t0: [06:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 167 n1: 167 rs: Manual st: NotStopd
id: Insulin t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: ABI (L) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 0.490909 n1: 0.490909 u1: . st: NotStopd id: ABI (R) t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 0.727273 n1: 0.727273 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd
id: Fingerstick Glucose t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
pi: 4378387 hi: 8869 t0: [08:00:00 20/01/2014] tf: [21:00:00 23/01/2014] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Gag Reflex t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: Level of Conscious t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [04:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Augmented Diastole t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [06:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [07:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [07:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [07:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [07:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BSA t0: [07:18:00 20/01/2014] el: 1033 cg: -1 cu: CCU v1: 1.98723 n1: 1.98723 u1: m2 id: Admit Wt t0: [07:18:00 20/01/2014] el: 1032 cg: -1 cu: CCU v1: 81 n1: 81 u1: kg id: Allergy 1 t0: [07:18:00 20/01/2014] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [07:18:00 20/01/2014] el: 1023 cg: -1 cu: CCU v1: CAD id: Service t0: [07:18:00 20/01/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [07:18:00 20/01/2014] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [07:18:00 20/01/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [07:18:00 20/01/2014] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [07:18:00 20/01/2014] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [07:18:00 20/01/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [07:18:00 20/01/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [07:18:00 20/01/2014] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: calprevflg t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [08:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 25.92 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Carrier 250.0ml t0: [08:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Integrelin t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin Guideline t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Insulin t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd
id: Midazolam t0: [08:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Opening t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Level of Conscious t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Verbal Response t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Diet Type t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: LLE Temp/Color t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLE Temp/Color t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: ETT Mark/Location t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: Education Topic #1 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: HOB t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: High Insp. Pressure t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Airway Size t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: Oral Care t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PEEP Set t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Position t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Restraint Type t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 462 n1: 462 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Turn t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: In-Line Sx Change t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Ventilator Mode t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Back Care t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Waveform-Vent t0: [08:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: Pt./Family Informed t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: calprevflg t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [09:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 12.96 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: Carrier 250.0ml t0: [09:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [09:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin Guideline t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd
id: Riker-SAS Scale t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Pupil Response R/L t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd
id: Gastric Meds t0: [08:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [08:00:00 20/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml
id: Art.pH t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [09:10:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: CaO2 t0: [09:10:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14.1575 n1: 14.1575 u1: ml/dl st: NotStopd id: Cardiac Index t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4.0201 n1: 4.0201 u1: ... st: NotStopd id: DO2I t0: [09:10:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 562.8 n1: 562.8 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 rs: Manual st: NotStopd id: SaO2 t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [09:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8.03612 n1: 8.03612 u1: L/min st: NotStopd
id: Service Type t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: calprevflg t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: Carrier 250.0ml t0: [10:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [10:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: calprevflg t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9.5 vu: ml id: Gastric Meds t0: [10:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [10:00:00 20/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Carrier 250.0ml t0: [11:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 23 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin Guideline t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [11:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 rs: Manual st: NotStopd
id: Insulin t0: [11:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Diet Type t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Angio Site #1 t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Respiratory Pattern t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Urine Source t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Insulin Guideline t0: [11:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [11:30:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml st: Stopped id: Carrier 250.0ml t0: [12:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLE Temp/Color t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [10:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4379114 hi: 8869 t0: [13:00:00 20/01/2014] tf: [12:00:00 21/01/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 123 n1: 123 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Insulin t0: [12:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 503 n1: 503 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:45:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 7.1 vu: ml st: Stopped
id: Heparin t0: [12:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Systolic Unloading t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [13:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [13:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [13:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Insulin t0: [13:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:45:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Heparin t0: [13:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: % st: NotStopd id: calprevflg t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 1.625 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [14:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [14:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Less Restrict Meas. t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
pi: 4379311 hi: 8869 t0: [15:00:00 20/01/2014] tf: [14:00:00 20/01/2014] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4379331 hi: 8869 t0: [15:00:00 20/01/2014] tf: [17:00:00 28/01/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 15, 3 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours
id: Fingerstick Glucose t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Sputum Color/Consist t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
pi: 4379467 hi: 8869 t0: [16:00:00 20/01/2014] tf: [11:00:00 28/01/2014] mn: Acetaminophen (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: calprevflg t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [15:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd
id: Service Type t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: SpO2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: calprevflg t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml t0: [16:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [16:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin Guideline t0: [12:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [13:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [15:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Urine Out Foley t0: [16:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 37 vu: ml
id: Art.pH t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: SaO2 t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: CaO2 t0: [16:06:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 14.0106 n1: 14.0106 u1: ml/dl st: NotStopd
id: Compliance (40-60ml) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 20/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Riker-SAS Scale t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Sputum Color/Consist t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Gastric Meds t0: [16:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [16:00:00 20/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml
id: Cardiac Index t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4.0201 n1: 4.0201 u1: ... st: NotStopd id: DO2I t0: [16:06:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 562.8 n1: 562.8 u1: ml/m/m st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 rs: Manual st: NotStopd id: SaO2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8.03612 n1: 8.03612 u1: L/min st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Pink Tinged st: NotStopd id: GU Cath Insert Date t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Stool Guaiac t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [14:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: In-Line Sx Change t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4379648 hi: 8869 t0: [18:00:00 20/01/2014] tf: [17:00:00 21/01/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 200 n1: 200 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [17:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 100.0ml t0: [16:00:00 20/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml t0: [17:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [17:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [18:00:00 20/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml t0: [18:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [18:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Diet Type t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Intub #1/Site t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: ABI (L) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 0.714286 n1: 0.714286 u1: . st: NotStopd id: ABI (R) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 0.806122 n1: 0.806122 u1: . st: NotStopd id: Angio Site #1 t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: ABI Ankle BP R/L t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Respiratory Pattern t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: % st: NotStopd id: Urine Source t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Insulin Guideline t0: [18:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Insulin t0: [18:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml t0: [19:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [19:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [19:00:00 20/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Pain Present t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Alarms t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: calprevflg t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 14.2257 n1: 14.2257 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [19:51:00 20/01/2014] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 22.7273 n1: 22.7273 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 5.65 n1: 5.65 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 485 n1: 485 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 20/01/2014] el: 0 cg: MS cu: CCU v1: RAMP st: NotStopd
id: Cath Lab Intake t0: [20:00:00 20/01/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Family Communication t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GI Intub #1/Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: HOB t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Back Care t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [10:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [11:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [12:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [13:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [14:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [15:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [16:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [17:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [18:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [19:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [20:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml nb: 1 id: .9% Normal Saline 250.0ml t0: [20:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml nb: 1 id: Carrier 250.0ml t0: [20:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml nb: 1
id: Integrelin t0: [20:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Temperature C (calc) t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: Service Type t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Supravent Tachy st: NotStopd id: IABP setting t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: calprevflg t0: [19:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough Reflex t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Positive v2: 5-7 st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Gag Reflex t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LLE Temp/Color t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Verbal Response t0: [20:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Service Type t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: calprevflg t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [21:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Gastric Meds t0: [20:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml t0: [21:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [20:00:00 20/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Carrier 250.0ml t0: [21:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [21:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [21:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 20/01/2014] el: 2 cg: RN cu: CCU cv: 270 ac: 24 ap: none re: 0
id: FiO2 Set t0: [21:45:00 20/01/2014] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [21:45:00 20/01/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Diet Type t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Reason For Restraint t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: Side Rails t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Verbal Response t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:45:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [22:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 20/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml t0: [22:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [22:00:00 20/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 20/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [22:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 20/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [21:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:45:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Code Status t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Augmented Diastole t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: calprevflg t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 20/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Fentanyl t0: [23:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:00:00 20/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip