This log is also available as text (213cc.txt) and as a (binary) annotation file (213cc.log).
Generated: Thursday, 23-Apr-2009 00:35:15 EDT
(All dates below are surrogates.)
id: Service Type t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: NBP t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Precautions t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pulses Paradoxus t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temperature C (calc) t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: NBP t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: Drain Out #1 Pericardial t0: [14:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Service Type t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Po Intake t0: [13:00:00 15/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml
id: 24h Total In t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0
id: Pain Present t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 15/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [17:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Drain Out #1 Pericardial t0: [17:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 115 n2: 115 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Education Barrier t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: HOB t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #2 Site/Size t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Insert Date t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV #3 Site/Size t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: Restraint Location t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Braden Activity t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV#3 WaveformAppear t0: [16:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd
id: Drain Out #1 Pericardial t0: [18:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Pain Present t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 15/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: O2 Delivery Device t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd
pi: 4345272 hi: 8834 t0: [21:00:00 15/01/2019] tf: [11:00:00 16/01/2019] mn: Phytonadione pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Orientation t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Source t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Alarms t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: O2 Delivery Device t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: SpO2 t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd
id: Pain Present t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 15/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 138 n2: 138 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg st: NotStopd id: Position t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Back Care t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [21:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Drain Out #1 Pericardial t0: [21:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Potassium t0: [20:35:00 15/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:35:00 15/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 16/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pulses Paradoxus t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [23:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Drain Out #1 Pericardial t0: [00:00:00 16/01/2019] el: 1 cg: RN cu: CCU vu: ml id: Drain Out #1 Pericardial t0: [23:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Total Hourly Output t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: 90 cv: 2940 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: -140 cv: -3272 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: -140 cv: -1229 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: -140 cv: -140 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: 140 cv: 3572 ac: 24 ap: carryForward re: 0 id: Drain #1 Total Out t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU pv: 50 cv: 632 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 148 n2: 148 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Drain Out #1 Pericardial t0: [01:00:00 16/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Service Type t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Turn t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [02:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 16/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Drain Out #1 Pericardial t0: [02:00:00 16/01/2019] el: 1 cg: RN cu: CCU vu: ml
id: Pain Present t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 16/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #2 Insert Date t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 107 n2: 107 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 134 n2: 134 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [04:00:00 16/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [03:00:00 16/01/2019] el: 1 cg: RN cu: CCU vu: ml id: Drain Out #1 Pericardial t0: [04:00:00 16/01/2019] el: 1 cg: RN cu: CCU vu: ml
id: Service Type t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 142 n2: 142 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Potassium t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
id: PT t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: INR t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.6 n1: 26.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.6 n1: 26.6 rs: Final st: NotStopd
pi: 4346248 hi: 8834 t0: [07:00:00 16/01/2019] tf: [11:00:00 16/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: WBC (4-11,000) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd id: WBC t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd id: Hematocrit t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 31.8 n1: 31.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 155 n1: 155 rs: Final st: NotStopd id: RBC t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Pre-Op st: NotStopd id: Eye Opening t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #2 Insert Date t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 121 n2: 121 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Position t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 19 n2: 19 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 16/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [08:00:00 16/01/2019] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Art.pH t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 220 n1: 220 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Glucose t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 181 n1: 181 rs: Final st: NotStopd id: Potassium t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 181 n1: 181 rs: Final st: NotStopd id: Hematocrit t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.09 n1: 1.09 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [09:46:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Drain Out #1 Pericardial t0: [08:00:00 16/01/2019] el: 1 cg: RN cu: CCU vo: 52 vu: ml
id: Drain #1 Total Out t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU cv: 77 ac: 24 ap: none re: 0
id: Blood Products t0: [10:01:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Sed Rate t0: [03:42:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd
id: Epinephrine-k io: D5W 250.0ml + 2mcgkgmin Epinephrine-k el: 100 cg: RN cu: CCU am: 2 du: mcgkgmin rt: IV Drip id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: RN cu: CCU am: 60 du: mcgkgmin rt: IV Drip id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CCU am: 500 du: mcgkgmin rt: IV Drip id: KCL io: D5W 50.0ml el: 100 cg: RN cu: CCU am: 20 du: mEq rt: Intravenous Push id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
io: D5W el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
pi: 4346976 hi: 8834 t0: [12:00:00 16/01/2019] tf: [22:00:00 16/01/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000ml LR Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label pi: 4346977 hi: 8834 t0: [12:00:00 16/01/2019] tf: [06:00:00 17/01/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4346978 hi: 8834 t0: [12:00:00 16/01/2019] tf: [06:00:00 17/01/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4346979 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4346980 hi: 8834 t0: [12:00:00 16/01/2019] tf: [18:00:00 16/01/2019] mn: Nitroglycerin pt: IV Piggyback st: Expired rt: IV DRIP fr: TITRATE TO dt: 6 di: Hours xv: 36 xu: Hours pi: 4346981 hi: 8834 t0: [12:00:00 16/01/2019] tf: [06:00:00 17/01/2019] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4346982 hi: 8834 t0: [12:00:00 16/01/2019] tf: [06:00:00 17/01/2019] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO dt: 6 di: Hours xu: Enter on Label pi: 4346983 hi: 8834 t0: [12:00:00 16/01/2019] tf: [11:00:00 17/01/2019] mn: Glycopyrrolate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4346984 hi: 8834 t0: [12:00:00 16/01/2019] tf: [11:00:00 17/01/2019] mn: Glycopyrrolate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4346985 hi: 8834 t0: [12:00:00 16/01/2019] tf: [11:00:00 17/01/2019] mn: Neostigmine pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4346986 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4346987 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4346988 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4346989 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346990 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346991 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Metoclopramide pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346993 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 8, 20 dn: 2 dt: 4 di: Doses xv: 36 xu: Hours pi: 4346995 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346996 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Sucralfate pt: Unit Dose st: Discontinued rt: NG fr: Q6H ds: 12, 18, 0, 6 dn: 4 dt: 4 di: Doses xv: 36 xu: Hours pi: 4346997 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346998 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4346999 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PR fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4347000 hi: 8834 t0: [10:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Aspirin EC pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4347001 hi: 8834 t0: [10:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Aspirin pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4347002 hi: 8834 t0: [20:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Docusate Sodium pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4347003 hi: 8834 t0: [20:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued rt: NG fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4347004 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4347005 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Dextrose 50% pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4347006 hi: 8834 t0: [10:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4347007 hi: 8834 t0: [10:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4347008 hi: 8834 t0: [00:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q24H ds: 0 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4347014 hi: 8834 t0: [12:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 12 dn: 1 di: Ongoing xu: Enter on Label
id: Art.pH t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Glucose t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: Potassium t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 317 n1: 317 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: Hematocrit t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.24 n1: 1.24 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:03:00 16/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd
ci: 36623 t0: [20:45:00 14/01/2019] cu: CCU de: CSRU dt: 6629
id: BSA t0: [11:31:00 16/01/2019] el: 1033 cg: -1 cu: CSRU v1: 2.00947 n1: 2.00947 u1: m2 id: Admit Wt t0: [11:31:00 16/01/2019] el: 1032 cg: -1 cu: CSRU v1: 80.7 n1: 80.7 u1: kg id: Allergy 1 t0: [11:31:00 16/01/2019] el: 1020 cg: -1 cu: CSRU v1: Sulfa (Sulfonamides) id: Diagnosis/op t0: [11:31:00 16/01/2019] el: 1023 cg: -1 cu: CSRU v1: CORONARY ARTERY DISEASE id: Service t0: [11:31:00 16/01/2019] el: 1026 cg: -1 cu: CSRU v1: CSU id: Admit Ht t0: [11:31:00 16/01/2019] el: 1034 cg: -1 cu: CSRU v1: 70 n1: 70 u1: inches id: Readmission t0: [11:31:00 16/01/2019] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [11:31:00 16/01/2019] el: 1006 cg: -1 cu: CSRU v1: D id: Religion t0: [11:31:00 16/01/2019] el: 1000 cg: -1 cu: CSRU v1: NSP id: Allergy 2 t0: [11:31:00 16/01/2019] el: 1021 cg: -1 cu: CSRU id: Ext t0: [11:31:00 16/01/2019] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [11:31:00 16/01/2019] el: 1022 cg: -1 cu: CSRU
id: Heart Rate t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Arterial BP t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Temperature F t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: Deg. F st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [11:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Heart Rate t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Arterial BP t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:45:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 28 vu: ml id: Chest Tubes CTICU CT 1 t0: [11:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 542 n1: 542 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [12:00:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/01/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Packed RBC's t0: [12:00:00 16/01/2019] el: 1 ai: 117 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Fresh Frozen Plasma t0: [12:00:00 16/01/2019] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Urine Out Foley t0: [12:00:00 16/01/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Drain Out #1 Pericardial t0: [12:00:00 16/01/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Art.pH t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 88 n1: 88 rs: Final st: NotStopd id: Potassium t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 342 n1: 342 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 88 n1: 88 rs: Final st: NotStopd id: Ionized Calcium t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.16 n1: 1.16 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [12:14:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Code Status t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 105 n2: 105 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: BSA - English t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1.30196 n1: 1.30196 u1: m2 st: NotStopd id: BSA - Metric t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1.51926 n1: 1.51926 u1: m2 st: NotStopd id: calprevflg t0: [11:35:00 16/01/2019] el: 0 cg: RN cu: CSRU u1: kg st: NotStopd id: Daily Weight t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd
id: Service Type t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Previous WeightF t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Radiologic Study t0: [11:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Significant Events t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: OR Received st: NotStopd id: calprevflg t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Neosynephrine-k t0: [11:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [11:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [11:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [12:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 105 n2: 105 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
id: Neosynephrine-k t0: [12:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [12:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [12:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Chest Tubes CTICU CT 1 t0: [12:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Chest Tubes CTICU CT 1 t0: [12:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Chest Tubes CTICU CT 1 t0: [12:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: FiO2 Set t0: [12:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: WBC (4-11,000) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: WBC t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: Hematocrit t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 28.5 n1: 28.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 183 n1: 183 rs: Final st: NotStopd id: RBC t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 3.02 n1: 3.02 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd
id: Chest Tube Site #1 t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: GI Prophylaxis t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Carafate st: NotStopd id: Diet Type t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Abdominal Assessment t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Paralytic Med st: NotStopd id: Motor Response t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: CT #1 Drainage t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Family Communication t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Reason For Restraint t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Behavior t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Anesthetized st: NotStopd id: Behavior t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Anesthetized st: NotStopd id: Pt./Family Informed t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Braden Activity t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Service Type t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: calprevflg t0: [12:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Neosynephrine-k t0: [12:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [12:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Chest Tubes CTICU CT 1 t0: [12:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: IV #1 Reason DC'D t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Drainage st: NotStopd id: IV Site Appear #2 t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd
id: Service Type t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Neosynephrine-k t0: [13:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [13:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Lactated Ringers t0: [12:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 50.0ml t0: [12:30:00 16/01/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: D5W t0: [12:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [12:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml
id: BUN t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: BUN (6-20) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Carbon Dioxide t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd
id: OR Colloid t0: [11:30:00 16/01/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: OR Crystalloid t0: [11:30:00 16/01/2019] el: 2 ai: 222 cg: RN cu: CSRU vo: 2500 vu: ml id: OR Out OR Urine t0: [11:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 360 vu: ml
id: PT t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 32.2 n1: 32.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [11:49:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 32.2 n1: 32.2 rs: Final st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [13:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 100 vu: ml id: Chest Tubes CTICU CT 1 t0: [13:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: IV #1 Reason DC'D t0: [13:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: HOB t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Flat in Bed st: NotStopd id: IV #1 D/C Date t0: [13:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [13:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [13:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Activity t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [13:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Position t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Therapeutic Bed t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: WarmingDevice/Status t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Blanket v2: On st: NotStopd
id: IV #1 Site/Size t0: [12:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 22 gauge st: NotStopd
id: GI#1 Tube PlaceCheck t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CT #1 Fluctuate/Leak t0: [11:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Positive st: NotStopd
id: CVP t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Ectopy Type t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Previous WeightF t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:05:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Neosynephrine-k t0: [13:05:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [13:05:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [13:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Neosynephrine-k t0: [13:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [13:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [13:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Neosynephrine-k t0: [13:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [13:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 200 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
id: OR Colloid t0: [14:00:00 16/01/2019] el: 2 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: OR Crystalloid t0: [14:00:00 16/01/2019] el: 2 ai: 222 cg: -1 cu: CSRU vo: 0 st: D/C'd id: OR Out OR Urine t0: [14:00:00 16/01/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unarousable st: NotStopd id: Risk for Falls t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Neosynephrine-k t0: [14:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [14:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Service Type t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: BPM st: NotStopd id: Heart Rate t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [14:15:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:30:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:45:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [14:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Neosynephrine-k t0: [14:45:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 11 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 21 vu: ml id: D5W t0: [13:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [14:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [15:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [14:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.35375 vu: ml id: Urine Out Foley t0: [14:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Chest Tubes CTICU CT 1 t0: [14:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Chest Tubes CTICU CT 1 t0: [15:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [15:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [14:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [14:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Daily Wake Up t0: [14:15:00 16/01/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Chest Tube Site #1 t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Circulation/SkinInt t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Carafate st: NotStopd id: Diet Type t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Abdominal Assessment t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Urine Color/Appear t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [14:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: CT #1 Drainage t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Positive st: NotStopd id: CT #1 Suction Amount t0: [13:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Art.pH t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 12.9787 n1: 12.9787 u1: ml/dl st: NotStopd id: Glucose t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: SaO2 t0: [15:12:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Danger Agitation st: NotStopd id: Risk for Falls t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Procedures t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [15:30:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: ETT Mark/Location t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Low Exhaled Min Vol t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: 466 n1: 466 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:30:00 16/01/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: INV#3Chg o/Wire Date t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Service Type t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Carafate st: NotStopd id: Diet Type t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Heart Rate t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 D/C Date t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Site Date t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Type/Site t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Zero/Cal t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3InsertDate t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3SiteAppear t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Abdominal Assessment t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Drainage/Amt #1 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Oral Cavity t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ABP Alarm (Lo/Hi) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#3 Cap Change t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 Tubing Change t0: [16:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Temp. Site t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: CT #1 Drainage t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Positive st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: D5W 100.0ml t0: [16:00:00 16/01/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 50.0ml t0: [14:00:00 16/01/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 50.0ml t0: [16:00:00 16/01/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 15.1312 vu: ml id: D5W t0: [16:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Chest Tubes CTICU CT 1 t0: [16:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Nitroglycerine-k t0: [15:50:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [16:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [15:50:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4347774 hi: 8834 t0: [17:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: 1X dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 12.4719 n1: 12.4719 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [16:10:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Eye Opening t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: Level of Conscious t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Verbal Response t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Potassium t0: [15:12:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:12:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Hematocrit t0: [16:01:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 29.9 n1: 29.9 u1: % rs: Final st: NotStopd
id: CVP t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [16:30:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [16:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Education Barrier t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd
id: HOB t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: WarmingDevice/Status t0: [15:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Blanket v2: On st: NotStopd
id: INV Line#1 Type/Site t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd
id: CVP t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Ectopy Type t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Significant Events t0: [16:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Extubated st: NotStopd id: SpO2 t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [17:00:00 16/01/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 60.525 vu: ml id: D5W t0: [17:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 140 vu: ml
id: Nitroglycerine-k t0: [17:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [16:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 16/01/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Extubation Date t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: FiO2 Set t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [17:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Less Restrict Meas. t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Range of Motion t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Circulation/SkinInt t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Intub Site t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Position Change t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Reason For Restraint t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Removed x 5 Mins t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraint Location t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraint Type t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraints Evaluated t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pt./Family Informed t0: [17:00:00 16/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Sputum Source/Amt t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Suctioned st: NotStopd
id: Ectopy Type t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes CTICU CT 1 t0: [17:20:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Propofol t0: [17:20:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Ectopy Type t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Previous Weight t0: [17:20:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [17:15:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [17:15:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [17:20:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [17:15:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Ectopy Type t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:25:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [14:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Lactated Ringers t0: [16:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Lactated Ringers t0: [17:00:00 16/01/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
id: Nitroglycerine-k t0: [17:25:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [17:25:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [18:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 34.8019 vu: ml id: D5W t0: [18:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 140 vu: ml id: Chest Tubes CTICU CT 1 t0: [18:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Nitroglycerine-k t0: [18:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [18:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cough/Deep Breathe t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU st: NotStopd
id: CVP t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [19:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 24.21 vu: ml id: D5W t0: [19:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 80 vu: ml id: Chest Tubes CTICU CT 1 t0: [19:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Nitroglycerine-k t0: [19:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [19:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4348363 hi: 8834 t0: [20:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV BOLUS fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4348364 hi: 8834 t0: [20:00:00 16/01/2019] tf: [02:00:00 17/01/2019] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 6 di: Hours xu: Enter on Label pi: 4348365 hi: 8834 t0: [20:00:00 16/01/2019] tf: [06:00:00 17/01/2019] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION dt: 18 di: Hours xu: Enter on Label pi: 4348366 hi: 8834 t0: [20:00:00 16/01/2019] tf: [06:00:00 17/01/2019] 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: 4348367 hi: 8834 t0: [20:00:00 16/01/2019] tf: [13:00:00 17/01/2019] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [20:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [20:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Level t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Present t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Cause t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Pain Level (Rest) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Location t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Pain Type t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd
id: D5W 100.0ml t0: [20:00:00 16/01/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [20:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 45 vu: ml id: Chest Tubes CTICU CT 1 t0: [20:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: FiO2 Set t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Source/Amt t0: [18:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v2: None st: NotStopd id: Sputum Source/Amt t0: [19:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v2: None st: NotStopd id: Sputum Source/Amt t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v2: None st: NotStopd
id: Cough/Deep Breathe t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incentive Spirometry t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Back Care t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: WarmingDevice/Status t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Blanket v2: On st: NotStopd
id: Chest Tube Site #1 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: GI Prophylaxis t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Level of Conscious t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Behavior t0: [16:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: CT #1 Drainage t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Positive st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Service Type t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v2: None st: NotStopd id: calprevflg t0: [21:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [21:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [21:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: LLL Lung Sounds t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd
id: Po Intake t0: [20:00:00 16/01/2019] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [21:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [21:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 60 vu: ml id: Chest Tubes CTICU CT 1 t0: [21:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Ionized Calcium t0: [21:32:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.17 n1: 1.17 rs: Final st: NotStopd id: Venous CO2(Calc) t0: [21:32:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: no data rs: Final st: NotStopd id: Venous PvCO2 t0: [21:32:00 16/01/2019] el: 0 cg: 1663 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [21:32:00 16/01/2019] el: 0 cg: 1663 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [21:32:00 16/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.37 n1: 7.37 u1: pH rs: Final st: NotStopd
id: Pain Level t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Cause t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Pain Management t0: [22:45:00 16/01/2019] el: 1 cg: RN cu: CSRU v1: SC Inject st: NotStopd id: Pain Type t0: [22:45:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [22:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [22:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: FiO2 Set t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Source/Amt t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v2: None st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [22:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [23:00:00 16/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [22:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [23:00:00 16/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Chest Tubes CTICU CT 1 t0: [22:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Chest Tubes CTICU CT 1 t0: [23:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 130 cv: 130 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 50 cv: 1113 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 130 cv: 2750 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 80 cv: 1200 ac: 24 ap: none re: 0
id: Cough/Deep Breathe t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Activity t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Position t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CSRU am: 600 du: mgmin rt: IV Drip
id: Amiodarone t0: [21:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [22:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:00:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [23:00:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 226 n1: 226 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:30:00 16/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [23:30:00 16/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: ETT Mark/Location t0: [00:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [00:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [00:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [00:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 17/01/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Level t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Code Status t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [00:30:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Extubation Date t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Eye Opening t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Insert Date t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: IV Site Appear #3 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Incision/Wound #1 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Intubation Date t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Cause t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Pain Level (Rest) t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Pain Management t0: [00:30:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: Repositioned st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Previous Weight t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd id: Insulin Guideline t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [23:30:00 16/01/2019] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [00:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 193 n1: 193 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd id: CT #1 Drainage t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [00:00:00 17/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [00:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [00:30:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 120 vu: ml id: Chest Tubes CTICU CT 1 t0: [00:30:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Amiodarone t0: [00:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [00:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [00:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Insulin t0: [00:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [00:30:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:30:00 16/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml
id: IV Infusion In Total t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 10 cv: 2812.02 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: 10 cv: 5312.02 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: -120 cv: 2562.02 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: -120 cv: 1333.02 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/01/2019] el: 2 cg: RN cu: CSRU pv: -120 cv: -120 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Arterial BP t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [01:00:00 17/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [01:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [01:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 35 vu: ml
id: Amiodarone t0: [01:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Service Type t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [01:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Off Guideline st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [02:00:00 17/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [02:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [02:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 70 vu: ml id: Chest Tubes CTICU CT 1 t0: [02:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Amiodarone t0: [02:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Insulin t0: [02:30:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cough/Deep Breathe t0: [02:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Incentive Spirometry t0: [02:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Insulin Guideline t0: [02:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Off Guideline st: NotStopd
id: Service Type t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [03:00:00 17/01/2019] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: D5W t0: [03:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 6 vu: ml id: Urine Out Foley t0: [03:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 30 vu: ml
id: Amiodarone t0: [03:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [03:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Pain Level t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Chest Tube Site #1 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Riker-SAS Scale t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [03:30:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Drainage/Amt #1 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: LLL Lung Sounds t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Position t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLL Lung Sounds t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Behavior t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Drainage t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [03:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Amiodarone t0: [03:30:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: no data rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: no data rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Ionized Calcium t0: [03:54:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.18 n1: 1.18 rs: Final st: NotStopd
pi: 4349492 hi: 8834 t0: [05:00:00 17/01/2019] tf: [13:00:00 17/01/2019] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4349493 hi: 8834 t0: [05:00:00 17/01/2019] tf: [13:00:00 17/01/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 30.4 n1: 30.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 189 n1: 189 rs: Final st: NotStopd id: RBC t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 3.28 n1: 3.28 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: Pain Level t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Present t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [04:20:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: FiO2 Set t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Incentive Spirometry t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Intubation Date t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: NBP t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Cause t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Pain Level (Rest) t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Location t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Pain Management t0: [04:20:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: PO Med st: NotStopd id: Pain Type t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [04:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 18.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Chest Tubes CTICU CT 1 t0: [04:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Amiodarone t0: [04:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: INR t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 27.4 n1: 27.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 27.4 n1: 27.4 rs: Final st: NotStopd
id: BUN t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 74 n1: 74 rs: Final st: NotStopd id: Potassium t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 74 n1: 74 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:39:00 17/01/2019] el: 0 cg: 1663 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [04:50:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [04:45:00 17/01/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:50:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [05:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 2.08333 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 40 vu: ml
id: Amiodarone t0: [05:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ectopy Type t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Previous Weight t0: [04:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous Weight t0: [04:45:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: Previous WeightF t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 80.7 n1: 80.7 u1: kg st: NotStopd id: calprevflg t0: [04:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:20:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4349623 hi: 8834 t0: [08:00:00 17/01/2019] tf: [13:00:00 17/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4349624 hi: 8834 t0: [08:00:00 17/01/2019] tf: [13:00:00 17/01/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4349625 hi: 8834 t0: [08:00:00 17/01/2019] tf: [13:00:00 17/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [06:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml id: Chest Tubes CTICU CT 1 t0: [06:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Amiodarone t0: [06:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:15:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 rs: Manual st: NotStopd
id: Insulin t0: [06:15:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [06:30:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incentive Spirometry t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [07:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [06:00:00 17/01/2019] el: 1 ai: 103 cg: RN cu: CSRU vo: 240 vu: ml
id: Previous Weight t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: BSA - English t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1.34712 n1: 1.34712 u1: m2 st: NotStopd id: BSA - Metric t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1.5707 n1: 1.5707 u1: m2 st: NotStopd id: Weight Change t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [06:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd
id: IV #2 Reason DC'D t0: [09:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [09:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [09:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [09:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [09:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 17/01/2019] el: 1 ai: 304 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 17/01/2019] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Code Status t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Drainage t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Straw st: NotStopd id: CT #1 Dressing t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Amiodarone t0: [08:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [07:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [08:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [09:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [07:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 17/01/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 17/01/2019] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 30 vu: ml id: Chest Tubes CTICU CT 1 t0: [08:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Temperature C t0: [11:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Temperature F (calc) t0: [11:00:00 17/01/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Service Type t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 17/01/2019] el: 1 ai: 103 cg: RN cu: CSRU vo: 240 vu: ml id: D5W t0: [10:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [11:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [11:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 200 vu: ml
id: Pain Level t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Daily Wake Up t0: [08:00:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Pain Level (Rest) t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [08:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Incisional st: NotStopd id: Pain Management t0: [10:00:00 17/01/2019] el: 1 cg: RN cu: CSRU v1: PO Med st: NotStopd id: Pain Type t0: [10:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: D5W 100.0ml t0: [10:00:00 17/01/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Temperature C (calc) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd
id: Po Intake t0: [12:00:00 17/01/2019] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 540 ac: 24 ap: none re: 0
id: Service Type t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: CVP t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Chest Tube Site #2 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Left Anterior st: NotStopd id: Code Status t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Ectopy Type t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Nursing Consultation t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: C Surg RN st: NotStopd id: O2 Delivery Device t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Therapeutic Bed t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: CT #1 Drainage t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Straw st: NotStopd id: CT #1 Dressing t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: D5W t0: [12:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 120 vu: ml id: Chest Tubes CTICU CT 1 t0: [12:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: CSRU st: NotStopd id: Code Status t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Assistance Device t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 85.8 n1: 85.8 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [13:00:00 17/01/2019] el: 1 ai: 190 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 17/01/2019] el: 2 cg: RN cu: CSRU vo: 120 vu: ml id: Chest Tubes CTICU CT 1 t0: [13:00:00 17/01/2019] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 523.833 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 1063.83 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 1155 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: -671.167 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 661.855 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 1735 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 17/01/2019] el: 2 cg: RN cu: -1 cv: 580 ac: 24 ap: none re: 0
id: Family Communication t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: INV Line#1 D/C Date t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#1 Type/Site t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2 Type/Site t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Cap Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Tubing Change t0: [12:30:00 17/01/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd
pi: 4350762 hi: 8834 t0: [14:00:00 17/01/2019] tf: [13:00:00 19/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4350763 hi: 8834 t0: [14:00:00 17/01/2019] tf: [08:00:00 18/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: Q12H ds: 14, 2 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4350764 hi: 8834 t0: [14:00:00 17/01/2019] tf: [08:00:00 18/01/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 14, 2 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4350765 hi: 8834 t0: [20:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4350766 hi: 8834 t0: [10:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Aspirin EC pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4350767 hi: 8834 t0: [14:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4350768 hi: 8834 t0: [14:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4350769 hi: 8834 t0: [20:00:00 16/01/2019] tf: [09:00:00 22/01/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 8, 20 dn: 2 dt: 47 di: Hours xv: 36 xu: Hours pi: 4350772 hi: 8834 t0: [20:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4350773 hi: 8834 t0: [14:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 14 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4350774 hi: 8834 t0: [10:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4350775 hi: 8834 t0: [10:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4350777 hi: 8834 t0: [14:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
ci: 37804 t0: [11:14:00 16/01/2019] cu: CSRU de: Regular ward dt: 1565
pi: 4350843 hi: 8834 t0: [15:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Milk of Magnesia pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4350844 hi: 8834 t0: [15:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4350845 hi: 8834 t0: [15:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4350846 hi: 8834 t0: [15:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4350847 hi: 8834 t0: [15:00:00 17/01/2019] tf: [14:00:00 18/01/2019] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4351073 hi: 8834 t0: [17:00:00 17/01/2019] tf: [21:00:00 22/01/2019] mn: Metoclopramide pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q6H ds: 17, 23, 5, 11 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4352176 hi: 8834 t0: [23:00:00 17/01/2019] tf: [22:00:00 18/01/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4353025 hi: 8834 t0: [09:00:00 18/01/2019] tf: [08:00:00 19/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4353250 hi: 8834 t0: [11:00:00 18/01/2019] tf: [10:00:00 19/01/2019] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4353251 hi: 8834 t0: [10:00:00 18/01/2019] tf: [21:00:00 22/01/2019] mn: Warfarin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4354864 hi: 8834 t0: [21:00:00 18/01/2019] tf: [09:00:00 22/01/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 21, 9 dn: 2 dt: 16 di: Hours xv: 36 xu: Hours
pi: 4356268 hi: 8834 t0: [13:00:00 19/01/2019] tf: [12:00:00 20/01/2019] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4356375 hi: 8834 t0: [14:00:00 19/01/2019] tf: [21:00:00 22/01/2019] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4357646 hi: 8834 t0: [09:00:00 20/01/2019] tf: [08:00:00 21/01/2019] mn: Magnesium Citrate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4358298 hi: 8834 t0: [15:00:00 20/01/2019] tf: [21:00:00 22/01/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4358580 hi: 8834 t0: [17:00:00 20/01/2019] tf: [16:00:00 21/01/2019] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4358792 hi: 8834 t0: [20:00:00 20/01/2019] tf: [19:00:00 21/01/2019] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4359436 hi: 8834 t0: [08:00:00 21/01/2019] tf: [07:00:00 22/01/2019] mn: Warfarin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4361415 hi: 8834 t0: [10:00:00 22/01/2019] tf: [21:00:00 22/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours